Hsiao Mark S, Mormino Matthew A, Esposito Paul W, Burke Bridget A
*Orthopaedic Surgery & Rehabilitation, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, TX †Childrens Hospital & Medical Center, Department of Orthopaedic Surgery, University of Nebraska Medical Center, Omaha, NE.
J Pediatr Orthop. 2013 Oct-Nov;33(7):725-9. doi: 10.1097/BPO.0b013e3182a32e69.
Atrophic nonunion of the distal humerus in children with osteogenesis imperfecta is a vexing and disabling problem. Traditional treatments, including casting, intramedullary nailing, plating and bone grafting have not been universally successful. We report on a case of successful treatment of one atrophic nonunion of the distal humerus in ad 2 year 10 month old child with type III OI who had failed more traditional treatments. The treatment used a combination of telescoping intramedullary nails, locking plate fixation and bone morphogenic protein.
Level IV.
成骨不全患儿肱骨远端萎缩性骨不连是一个棘手且致残的问题。包括石膏固定、髓内钉固定、钢板固定和植骨在内的传统治疗方法并非都能取得成功。我们报告了一例2岁10个月大的III型成骨不全患儿肱骨远端萎缩性骨不连的成功治疗病例，该患儿此前接受的传统治疗均告失败。治疗采用了可延长髓内钉、锁定钢板固定和骨形态发生蛋白联合应用的方法。
IV级。
