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Title Osteogenesis imperfecta : a case-based guide to surgical decision-making and care / Richard W. Kruse, editor
Published Cham : Springer, 2020


Description 1 online resource
Contents Intro -- Preface -- Why This Book? -- Acknowledgments -- Contents -- Contributors -- Part I: General Considerations in Treating OI for the Surgeon -- 1: Introduction to Osteogenesis Imperfecta -- Introduction -- Epidemiology -- Diagnosis -- Classification of OI -- Differential Diagnosis -- Child Abuse and OI -- Other Differential Diagnosis -- When Is Genetic Testing Done, What Tests Should Be Done and What Is Its Value -- Summary -- References -- 2: Patient Evaluation and Medical Treatment for Osteogenesis Imperfecta -- Introduction -- Evaluation of Patient -- History and Physical Overview
Patient Presenting with Known Diagnosis -- History and Physical-Specific Findings -- Extra-skeletal Features -- Comprehensive Studies to Obtain -- The Diagnosis of OI: Genetic Testing -- Patient Without Known Diagnosis: Prenatal/Perinatal -- Classifications -- Initial Treatment Planning -- Nutrition -- Splinting and Home Fracture Care -- Pain Control -- Therapy/Mobility/Activity -- Developmental Stages -- Medical Treatment -- Decision to Treat -- Controversy on Whom to Treat -- Our Approach -- Bisphosphonates -- Pamidronate -- Zoledronic Acid -- Other Bisphosphonates -- Other Treatments
Growth Hormone -- Monoclonal Antibodies -- Combination Therapies -- Patient Monitoring and Follow-Up -- Annual Echocardiograms for Adults -- References -- 3: Therapy, Orthotics and Assistive Devices for Osteogenesis Imperfecta -- Introduction -- Newborn Nursery -- Early Intervention -- School-Based Therapy Services -- Postfracture Medically Based Service -- Multidisciplinary Clinic -- Orthotic Management -- Assistive Devices -- Conclusion -- References -- 4: The Structure and Functioning of the Multidisciplinary Clinic in Managing and Monitoring Patients with Osteogenesis Imperfecta in the UK
Conclusion -- References -- 5: Quality of Life and Functional Evaluation Measures for Osteogenesis Imperfecta -- Introduction -- Goal Setting -- Functional Performance -- Quality of Life -- QOL in OI -- Measuring Success -- Case Studies -- Case 1 -- Case 2 -- Case 3 -- Case 4 -- References -- Part II: Surgical Planning and Surgery -- 6: Personal Reflections on Care for Osteogenesis Imperfecta -- The Beginnings -- How Does Our OI Consultation Work? -- What Should We Do Now? -- Further readings -- 7: Surgical Principles in Treating Osteogenesis Imperfecta
Abstract: Decision-Making and Surgical Principles -- Patient Evaluation: Medical History and Functional Evaluation -- Patient Evaluation: Physical Examination -- Evaluation of Other Bony Deformity and Soft Tissue Contractures -- Patient Evaluation: Medical Imaging -- Evaluate the "entire bone" "You can't make a good decision on a bad x-ray" -- Role of Computerized Tomography (CT) Scanning in Preoperative Planning -- Patient Evaluation: Physical/Occupational Therapy -- Patient Evaluation: Role of Gait Analysis in the Ambulatory Child Is Evolving
Summary Osteogenesis imperfecta (OI), also known as brittle bone disease, is a genetic disease involving primarily the skeleton but affecting all organ systems. It is an extremely multifarious condition causing frequent fractures and limb and spinal deformity, which can often be severe. While there are described surgical procedures to treat these patients, due to the variety of the deformities and the fragility of the bone, the orthopaedic surgeon is often forced to adapt or modify a plan during an operation to achieve success. Surgical experience with the disease worldwide is often limited and variable, and due to constraints on medical equipment and surgical implants in resource-constrained countries, alternate methods of achieving the similar surgical endpoints are possible. This book will help guide decision-making in surgery using biologic and surgical principles to assist the planning and execution of surgery with available resources. It will then provide the surgeon with background knowledge of the genetic, medical and surgical principles necessary to formulate a comprehensive treatment plan, illustrated by varied and complex patient cases from experienced surgeons and clinicians worldwide. Beginning with an introduction to osteogenesis imperfecta and the general care of the patient, the book is divided into thematic sections covering general surgical considerations, principles of extremity surgery, and surgical cases on the pelvis, upper and lower extremities, and the spine, it will incorporate aspects of surgical decision-making, including cultural and geographic factors, to give a truly global perspective on the care of these complex patients
Notes Includes index
Subject Osteogenesis imperfecta -- Surgery
Paediatric medicine.
Orthopaedics & fractures.
Medical -- Pediatrics.
Medical -- Orthopedics.
Form Electronic book
Author Kruse, Richard W
ISBN 9783030425272