The Sofield-Millar operation in osteogenesis imperfecta. A modified technique.
We have reviewed the results of the Sofield-Millar operation on 58 long bones in ten patients. If more than three osteotomies were undertaken the time to union of the bone was significantly prolonged (p < 0.001) with significant thinning of the bone (p < 0.02). We have used a modified technique in order to minimise surgical trauma and devascularisation of the bone. The rod is introduced under the control of an image-intensifier. Small surgical exposures are made only at the sites of corrective wedge osteotomies. The number of osteotomies is kept to the minimum.
Li
Y H
YH
University of Hong Kong and the Duchess of Kent Children's Hospital, Poksulam.
Chow
W
W
Leong
J C
JC
D001862:Bone Resorption; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D010013:Osteogenesis Imperfecta / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors