Osteopenia, Osteoporosis
Conditions
Keywords
deformity, osteoporosis
Brief summary
use of plate over humeral nail in deformity correction of femur in adult osteoporotic bone
Detailed description
small IM interlocking nail, such as humeral nail, could be used in femoral fixation in normal adolescent patients due to the advantages of the entry point lateral to tip of greater trochanter resulting in avoiding iatrogenic vascular injury and being the IM locking device with smaller diameter and shorter length than conventional femoral nail which was appropriate for small-sized adolescent femoral anatom
Interventions
spinal anesthesia in supine position, lateral approach to the femur is used to do corrective osteotomies and introduction of nail according to preoperative plan. After that, plate is applied to lateral border to the femoral shaft
Sponsors
Study design
Intervention model description
Under spinal anesthesia in supine position, lateral approach to the femur is used to do corrective osteotomies and introduction of humeral nail according to preoperative plan. After that, plate is applied to lateral border to the feoral shaft. Weight bearing is allowed after confirmation of union after 6 weeks. Regular visits every 3 months.
Eligibility
Inclusion criteria
* Osteoporotic bone with femoral deformity. * Osteogenesis imperfecta. --Vitamin D deficiency ricket
Exclusion criteria
* Uncooperative patient. \-- Skeletally immature * Not receiving medical treatment. * Patient with history of allergy to drugs used in the study. * Neuromuscular pathology, previous trauma, or surgery to the leg
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Metal failure | 2 years | Number of cases with bending or protrusion |