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The Use of Distraction Osteogenesis and a Taylor Spatial Frame in the Treatment of a Tibial Shaft Nonunion and Deformity in a Pediatric Patient with Osteopetrosis

A Case Report

Catanzano, Anthony A. Jr., MD1; Fitch, Robert D., MD1

doi: 10.2106/JBJS.CC.17.00322
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Disclosures

Case: Osteopetrosis is a heritable disease that causes brittle bones that are prone to fracture. Furthermore, these brittle bones have a poor healing response and a high risk of subsequent refracture. Many treatment strategies have been described for initial fracture stabilization; however, there is a paucity of literature describing treatment of refractures and subsequent deformity. We present the long-term results of a unique case in which we used a circular external fixator, the TAYLOR SPATIAL FRAME (Smith & Nephew), to correct a deformity in a patient with osteopetrosis who suffered multiple refractures of the tibia.

Conclusion: We propose the potential use of distraction osteogenesis as an option for fracture and deformity treatment in patients with osteopetrosis.

1Department of Orthopaedics, Duke University Health System, Durham, North Carolina

E-mail address for A.A. Catanzano Jr.: Anthony.catanzano@gmail.com

Written work prepared by employees of the Federal Government as part of their official duties is, under the United States Copyright Act, a “work of the United States Government” for which copyright protection under that Act is not available. As such, copyright protection does not extend to the contributions of employees of the Federal Government prepared as part of their employment.
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