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O.I with NOF fixed by Wagner technique and telescoping nail
osteogenesis imperfecta (Sillence Type IV) sustained neck of femur fracture after fall on ground. He had proximal femoral anterolateral bowing on top of inserted rod 4 years ago. He was treated with corrective osteotomy and intramedullary telescoping nail for deformed femur and Wagner technique to fix NOF fracture. One year after operation the patient gained satisfactory functional outcome with union of NOF fracture and correction of femoral deformity. This rare case illustrates the anticipated difficulties in managing neck of femur fracture in osteogenesis imperfect patients. The method of fixation with Wagner technique can achieve stable fixation for solid healing in fragility fractures like this and the least interference with telescoping nail insertion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fixation with Wagner technique and Telescoping nail | Experimental | corrective osteotomy and intramedullary telescoping nail for deformed femur and Wagner technique to fix NOF fracture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| corrective osteotomy and intramedullary telescoping nail for deformed femur and Wagner technique to fix NOF fracture | Procedure | corrective osteotomy and intramedullary telescoping nail for deformed femur and Wagner technique to fix NOF fracture |
| Measure | Description | Time Frame |
|---|---|---|
| modified McKay's criteria | hip function score the higher the score the better outcome graded into excellent, Good , Fair and Poor | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hesaham M Elbaseet, MD | Contact | +2001007780689 | drhesham20@aun.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Hesaham M Elbaseet, MD | Assiut University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of medicine Assiut university | Recruiting | Asyut | 71515 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33278111 | Background | Hidalgo Perea S, Green DW. Osteogenesis imperfecta: treatment and surgical management. Curr Opin Pediatr. 2021 Feb 1;33(1):74-78. doi: 10.1097/MOP.0000000000000968. | |
| 37026790 | Background | Fralinger DJ, Kraft DB, Rogers KJ, Thacker MM, Kruse RW, Franzone JM. The Fate of the Bent Rod in Children With Osteogenesis Imperfecta. J Pediatr Orthop. 2023 Jul 1;43(6):e465-e470. doi: 10.1097/BPO.0000000000002409. Epub 2023 Apr 6. |
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fixation with Wagner technique
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| ID | Term |
|---|---|
| D010013 | Osteogenesis Imperfecta |
| D005265 | Femoral Neck Fractures |
| ID | Term |
|---|---|
| D010009 | Osteochondrodysplasias |
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003095 | Collagen Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
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