[Chronic hypophosphatemic osteopathy (rachitis). Orthopedic review]

Origanized collaboration between the osteologist and the orthopaedic surgeons in diagnosis and treatment of this disease, is basically important for a successful orthopaedic approach and for the maintenance of stabile long-time healing-results. From a total of 48 patients, in 25 cases an operative treatment was necessary. The relationship between the biochemical distrubance of bone metabolism and biomechanical factors in the progressive development of articular and diaphyseal axis deformities, especially of the weight bearing lower extremities, was determined. The indications and mechanical conditions with relation to conservative and operative therapeutic procedures are analyzed and the praeoperative biomechanical and biochemical therapeutic approach is described in detail.