Distal humerus atrophic nonunion in a child with osteogenesis imperfecta.

J Pediatr Orthop

*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.

Published: May 2014

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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http://dx.doi.org/10.1097/BPO.0b013e3182a32e69DOI Listing

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