title: Early telescopic rod osteosynthesis for Osteogenesis Imperfecta patients.
abstract: Osteogenesis imperfecta is a genetically determined pathology that implies bone variability and osteoporosis with early onset of fractures after low energy trauma. For a better understanding of the clinical problems, Sillence and Danks created a classification. The study group consisted of 12 patients both males and females, with ages ranging from 2 years and 3 months to 12 years. All of them came to the hospital late, after walking, after several fractures occurred and the only treatment they underwent was with prolonged cast immobilization that caused rapid bone demineralization, axial deformations of the affected bones, increased number of fractures and eventually loss of ambulation. Following the discharged patients, we appreciated that the open bone alignment and Fassier Duval osteosynthesis were the best way to treat a patient with Lobstein disease. The results showed that by using these two techniques a lot of time is saved on a long term because all the great complications associated with older techniques are gone and a rapid ambulation is possible due to the soft tissue damage that is kept to a minimum.
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: A
authors.initials: A
authors.lastname: Sterian
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: R
authors.initials: R
authors.lastname: Balanescu
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; "Dr. Carol Davila" Central Military University Emergency Hospital, Bucharest, Romania.
authors.forename: A
authors.initials: A
authors.lastname: Barbilian
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania.
authors.forename: I
authors.initials: I
authors.lastname: Tevanov
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Carp
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania.
authors.forename: C
authors.initials: C
authors.lastname: Nahoi
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Barbu
authors.affiliation: "Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: A
authors.initials: A
authors.lastname: Ulici
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008297:Male; D010013:Osteogenesis Imperfecta / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Fassier Duval osteosynthesis; Lobstein disease; Osteogenesis Imperfecta; telescopic rod osteosynthesis