両側大腿骨および両側けい骨に矯正骨切り術を行った骨形成不全症の１例
書誌事項
- タイトル別名
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- Realignment and Intramedullary Rod Fixation for Osteogenesis Imperfecta. A Case Report.
- A Case Report
抄録
We performed corrective multiple osteotomy and intramedullary rod fixation on the bilateral femora and tibiae of a 4-year-old boy with osteogenesis imperfecta (OI) who had marked locomotive disturbance resulting from fragility and deformity of the lower limbs. Nailing was performed with a 3.2mm diameter telescoping rod for the right femur, and with a 3mm diameter Kirschner's wire for the left femur and both tibiae. Forward flexure of the right tibia subsequently recurred, resulting in cutting of the tibia by the Kirschner's wire. Reoperation was thus required. One year and 8 months after the reoperation, the patient is able to maintain a standing position and has acquired some locomotive capability.<br>Children with OI who often have a history of fractures, tend to limit their movement in order to reduce the possibility of sustaining additional fractures. This results in disuse atrophy and fragility of the extremities, and ultimately severe locomotive disturbance. In the present case, invasive treatment reduced the risk of francture. The patient can now perform exercises including kneeling, and these exercises can be expected to further improve his clinical condition.
収録刊行物
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- 中国・四国整形外科学会雑誌
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中国・四国整形外科学会雑誌 6 (2), 459-465, 1994
中国・四国整形外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204349338368
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- NII論文ID
- 130003437526
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- ISSN
- 13475606
- 09152695
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可