Discusión entre pares / Osteogenesis Imperfecta child now aged 14 yrs and 2 yrs from last revision of Sheffield rods

Biju Nair ha añadido fotos al álbum "March 21, 2014".

Osteogenesis Imperfecta child now aged 14 yrs and 2 yrs from last revision of Sheffield rods. Fell off 2 wheeler 2 months back with this result. Asymptomatic now. Options for further management please.

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  Biju Nair Size of nail is 6 mm

  
  
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  Basel Merjanah Usually telescoping nail 2.8 or 3.5 titanium and malleable so may be its problem of manufacture wide nail and stiff so its better to control by 3 m x ray to see if there is still teloscoping of nail even it is bend so leave it 
  If not you need to remove distal male nail and cut poxymal female and exchange it

  
  
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  Sunil Kumar similar case with deformity, planning for osteotomy and correction tmw,

  

  
  
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  Biju Nair The childs bone growth is almost over and hence even non expandable nails are possible now. The angulation is 18 degrees now and am worried that it may worsen as the weight of the child increases. I cant find any company producing pediatric cephalomedullary nails of 6mm size