[Sliding centro-medullary nailing. Application to the treatment of severe forms of osteogenesis imperfecta].
In osteogenesis Imperfecta, the bowing of bones concures to increase their fragility. In order to avoid bowing of bones, Sofield, followed by Bailey have proposed centro medullary nailing. The pins used by Sofield do not expand and repeated changes are necessary. The expanding rods used by Bailey are to large and they can't be used in neonates. The author describe a new technique of bipolar centro medullary pinning. Two bowed K. Wires are introduced in the centromedullary canal, the first one through the proximal epiphysis, the second one through the distal epiphysis. During growth, each pin migrates distally and the osteosynthesis expand regularly. The technique can be used in the neonates and protects their bone from progressive bowing.
Service de Chirurgie Orthopédique Pédiatrique, Hôpital Belle Isle, Metz.
J P
JP
Metaizeau
D005594:Fracture Fixation, Intramedullary; D006801:Humans; D010013:Osteogenesis Imperfecta / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography
L'embrochage centro-médullaire coulissant. Application au traitement des formes graves d'ostéogénèse imparfaite.