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Re: болезнь Альберс-Шонберга
Myles Clough 19 Июль 2007, 17:13
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AC > What do you think about diagnosis and what teatment would be
useful?
Diagnosis (of osteopetrosis) would be strengthened by xrays of other areas such as hips, spine and mandible. I wondered about melorheostosis.
(No articles were found in a PubMed search for "Melorheostosis"[Mesh] AND "Osteoarthritis, Knee"[Mesh] They can of course co-exist but the one may not cause the other)
The difficulty that everyone talks about in surgical treatment of osteopetrosis is the obliteration or severe narrowing of the medulla.
Combined with bone hardness and fragility this makes using IM guides a big problem. If his symptoms were primarily medial, would you consider a unicompartmental arthroplasty? You can probably do most versions of this operation without intramedullary guides.
Myles Clough MD FRCSC DPhil
Orthopaedic Surgeon
Kamloops, British Columbia
Clinical Instructor, University of British Columbia, Dept of
Orthopaedics
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