علاج كسر العظم الطويل، والكسر الوشيك، وكسر الإجهاد، أو تشوه الأطراف في خلل التعظم الليفي للعظام

References

DOI: 10.1186/s13023-019-1102-9

• Mechanical/ weight bearing bone pain can signal a stress or impending fracture.
• Limb deformity requires early assessment for prophylactic surgery to prevent worsening deformity, pain and fracture.
• Review by a specialist orthopaedic surgeon is needed for fracture, potential mechanical/ tumour bone pain or limb deformity.
• This should trigger consideration for correction of alignment, and/or consideration for the necessity of a surgical procedure, possibly involving the use of an intramedullary titanium nail or custom-made titanium angled blade plate, based on the 'bridging the defect' principles, to stabilize the involved bone.
• Preferred internal fixation is with a titanium intramedullary nail, bridging the involved bone where possible.
• Internal fixation using conventional titanium plates or custom-made titanium plates by bridging the involved bone is another option.
• The stabilization procedure is often facilitated by performing a correction osteotomy.