Intramedullary Fixation with Telescoping Nail in the Treatment of Bone causing Diseases.

概要

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We have treated lower extremity fratures and deformities resulting from brittle bone cousing diseases using telescoping nails. Since 1985, five coses: 4 osteogenesis imperfecta and 1 Albright syndrome (9 femur, 1 tibia) have been heated, with an average age at insertion of the first nail of 3. 8 years. In seven of the femurs and one tibia, nail was satisfactorily extended. The but in two femurs, the nail was not extendable. A revision of the nail was necessary in four femurs due to bone grouth. There were 4 femoral froctures after fixation of the nail, but all achieved good union without surgery. There were eight complications following insertion of the 14 telescoping nails, including 6 migrations, 1 osteomyelitis and 1 bending of the nail. However the complications can be avoided almost totally by careful surgical technique. Telescoping nails appear to be the best device for use in lower extremity fractures in children with brittle bone causing disease.