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Re: Non union femur - osteogenisis imperfecta
Alexaander Chelnokov 22 Январь 2007, 00:40
> the classical procedure would be Kebab ostoeotmies and nailing but
> is there any alternative?


Why seek for alterative? I would try to remove screws percutaneously under image intenisfier, ream, then start closed nail insertion performing perQ osteotomies (two must be enough), immediately pushing quide wire and the nail down the osteotomy line. Then lock the nail and voila.

Of course the same final result but with more long or invasive way can be reached by ex-fix with hinges (as definitive fixation after alignment or converted to a nail) or by a long plate.
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    Re: Non union femur - osteogenisis imperfecta
    Anton Kovalenko 25 Январь 2007, 23:12
    Dear Alex

    >performing perQ osteotomies (two must be enough), immediately pushing
    >quide wire and the nail down the osteotomy line.


    Do you think that lengthening and changing axis of thigh after doudle osteotomy will be insignificant?

    Best regards, Kovalenko A.N.
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    • Re: Non union femur - osteogenisis imperfecta
      Отправитель: Alexander Chelnokov 25 Январь 2007, 23:28
      The surgery requires thorough preop planning for estimation of all angles and gained length. The plan also depends on the status of the opposite leg, and further intenions of its correction later. In case of extra length the problem can be addressed during the surgery.

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