Distal humerus atrophic nonunion in a child with osteogenesis imperfecta
Mark S Hsiao1, Matthew A Mormino, Paul W Esposito
1*Orthopaedic Surgery & Rehabilitation, William Beaumont Army Medical Center, Texas Tech University Health Sciences Center, El Paso, TX †Childrens Hospital & Medical Center, Department of Orthopaedic Surgery, University of Nebraska Medical Center, Omaha, NE.
Unlabelled:
Atrophic nonunion of the distal humerus in children with osteogenesis imperfecta is a vexing and disabling problem. Traditional treatments, including casting, intramedullary nailing, plating and bone grafting have not been universally successful. We report on a case of successful treatment of one atrophic nonunion of the distal humerus in ad 2 year 10 month old child with type III OI who had failed more traditional treatments. The treatment used a combination of telescoping intramedullary nails, locking plate fixation and bone morphogenic protein.
Level Of Evidence:
Level IV.
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