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Bone Abstracts (2017) 6 P173 | DOI: 10.1530/boneabs.6.P173

ICCBH2017 Poster Presentations (1) (209 abstracts)

Results of surgical treatment of tibia deformity in patients with Campanaccis disease

Yuriy Guk , Andrii Zyma , Andrii Cheverda , Yuriy Oliinyk & Yuriy Demyan

Institute of Orthopedics and Traumatology, Kiev, Ukraine.

Relevance of the study due to progressive and opportunity of Campanaccis disease to relapse after surgical treatment. Analysis of surgical treatment of seven patients with osteo-fibrous dysplasia of tibia (four male, three – female) aged 2–17 years who performed 13 surgeries. Bone grafting after curettage residual cavities made in two of seven patients, including allografts used in one patient, ceramic hydroxyapatite ‘Kerhap’ – in two patients, with one patient in three cases. Two teenage patients with missing tibia deformation and small in size cells made in two cases, marginal resection. In two patients with lack of tibia deformation and small in size cells made marginal resection. Corrective osteotomy of the tibia performed in four patients aged 3–10 years (mean age 5 years), including combined with osteosynthesis with plate fixation in three patients, one patient made primary osteosynthesis with intramedulary telescopic rod. Two patients with recurrent deformity outside of the plate held osteosynthesis with telescopic intramedullary rod. Due to the high probability of relapse osteoplasty have not done. Analysis of long-term results of surgical treatment of osteo-fibrous dysplasia found that resection of pathological cells and bone grafting is not prevented relapse. The use of intramedullary osteosynthesis with telescopic rod helped allowed to maintain the correct axle of the limbs and prevent recurrence deformity of the tibia. Violation growth of the bone after osteosynthesis with intramedullary telescopic rods are not observed in any case. Fusion after corrective osteotomy was in ordinary terms under the age of all patients. Support function and gait in patients was restored in time from 2.5 to 3.5 months. The use of intramedullary telescopic rods in patients with osteo-fibrous dysplasia in childhood can prevent recurrence of deformity of the tibia and provide recovery of moves in optimal time.

Disclosure: The authors declared no competing interests.

Volume 6

8th International Conference on Children's Bone Health


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