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Using a corkscrew-tipped telescopic nail in the treatment of osteogenesis imperfecta

a biomechanical study and preliminary results of 17 consecutive cases

Sarikaya, Ilkera; Seker, Alib; Erdal, Ozan Alia; Gunay, Huseyind; Inan, Muharremb; Guler, Berilc

Journal of Pediatric Orthopaedics B: March 2019 - Volume 28 - Issue 2 - p 173–178
doi: 10.1097/BPB.0000000000000537
OSTEOGENESIS IMPERFECTA
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High complication rates were reported with the telescopic nail technique systems. To overcome such technical difficulties, we designed a corkscrew-tipped telescopic nail (CTTN). We biomechanically compared its pullout strength with that of two other tip designs. We used CTTN in 17 patients with osteogenesis imperfecta and reported their preliminary results. Average patient age was 82.6 months, and mean follow-up was 32.0±6 months. Telescoping and osteotomy site healing were assessed using radiological studies. Successful telescoping with event-free osteotomy site healing was achieved in 94.1% of patients; limited telescoping and delayed union were detected in one case each. Our results show that CTTN provides sufficient pullout strength and reduced complication rates compared with other designs.

aCocuk Ortopedi Klinigi

bDepartment of Orthopaedics and Traumatology, Cerrahpasa Medical Faculty, Istanbul University

cDepartment of Pathology, Bezmialem Vakif University, Istanbul

dDepartment of Orthopaedics and Traumatology, Ege University Medical Faculty, Izmir, Turkey

Correspondence to Ali Seker, MD, Department of Orthopaedics and Traumatology, Cerrahpasa Medical Faculty, Istanbul University, Fatih/Istanbul 34096, Turkey Tel: +90 532 326 2202; fax: +90 212 414 3000; e-mail: aliseker@doctor.com

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