MULTIPLE EXTRAPERIOSTEAL OSTEOTOMY FOR OSTEOGENESIS IMPERFECTA

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GHARAHDAGHI M.; RAHIMI HASAN; BAHARI MAHMOUD; MIRI NEZHAD S.H.

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Paper Information

Journal: Medical Journal of Mashhad University of Medical Sciences Year:2003 | Volume:45 | Issue:78 Page(s): 77-83

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Title

MULTIPLE EXTRAPERIOSTEAL OSTEOTOMY FOR OSTEOGENESIS IMPERFECTA

Author(s)

GHARAHDAGHI M. | RAHIMI HASAN | BAHARI MAHMOUD | MIRI NEZHAD S.H. | Issue Writer Certificate

Keywords

OSTEOGENESIS IMPERFECTQ4

MULTIPLE OSTEOTOMIESQ4

EXTRAPERIOSTEALQ4

Abstract

In all forms of OSTEOGENESIS IMPERFECTa the tendency to multiple pathologic fractures and bone deformities as a sequella of these fractures are common. These deformities condemned with normal gait and physical activities of the patients. The bones in this disease are fragile, and multiple fractures and mal unions lead to constant morbidity. So aggressive management for these cases is very important.We are reporting 15 cases of OSTEOGENESIS IMPERFECTa managed by multiple EXTRAPERIOSTEAL wedge osteotomy and intramedullary fixation in an eight-year period (1994-2001). The pattern of inheritance was autosomal dominant in 11 cases, and mutation had been found in four cases.To assess the efficacy of this new method of osteotomy for prevention of complications, in 15 patients; 65 corrective osteotomies and 35 reoperations had been done. The operative technique in all of the cases was multiple EXTRAPERIOSTEAL osteotomies, in which the segmented bone was not brought out of its periosteal coverage.In all operated cases clinical and radiologic union were achieved without any cases of nonunion and infection (early or late). Functional strength and ambulatory status of the patients had been improved after operation. Six from eighth wheelchair dependent patients were able to walk with crutches two patients could walk independently. In seven crutch dependent patients, all could walk independently.In contrast to the traditional osteotomies (So field and Millar) we did not have any case of infection or nonunion after our new technique of EXTRAPERIOSTEAL osteotomy (%5 infection and %7 nonunion with So field & Millar). But there was no difference between the two techniques in point of view of the rate of reoperations for correction of the site of the nails or nail displacement.We recommend this new technique of osteotomy as a method of choice for correction of deformities in Lobestein's disease.

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APA: Copy

GHARAHDAGHI, M., RAHIMI, HASAN, BAHARI, MAHMOUD, & MIRI NEZHAD, S.H.. (2003). MULTIPLE EXTRAPERIOSTEAL OSTEOTOMY FOR OSTEOGENESIS IMPERFECTA. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 45(78), 77-83. SID. https://sid.ir/paper/52213/en

Vancouver: Copy

GHARAHDAGHI M., RAHIMI HASAN, BAHARI MAHMOUD, MIRI NEZHAD S.H.. MULTIPLE EXTRAPERIOSTEAL OSTEOTOMY FOR OSTEOGENESIS IMPERFECTA. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2003;45(78):77-83. Available from: https://sid.ir/paper/52213/en

IEEE: Copy

M. GHARAHDAGHI, HASAN RAHIMI, MAHMOUD BAHARI, and S.H. MIRI NEZHAD, “MULTIPLE EXTRAPERIOSTEAL OSTEOTOMY FOR OSTEOGENESIS IMPERFECTA,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 45, no. 78, pp. 77–83, 2003, [Online]. Available: https://sid.ir/paper/52213/en

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