Femoral endomedullary nail for pediatric patients with osteogenesis imperfecta
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Abstract
Osteogenesis imperfecta is a hereditary pathology that causes fragile bones with malformations. One of the elective treatments is based on an osteotomy, which relies on the placement of a surgical nail to guide bone growth. The Fassier-Duval model is a telescopic nail used in osteotomies, in treatment of osteogenesis imperfecta, in the femur, tibia and humerus. This provides the ability to guide the bone in its growth process; however, it does not prevent the degree of freedom of rotation, which causes patients in their development to present rotational movements in the lower limbs, resulting in the need for new surgical interventions for the correction of this malformation. Given the above, we present the design and construction of a femoral endomedullary nail for pediatric patients aged 8 to 12 years with osteogenesis imperfecta, which is presented as a solution to the post-surgical rotation; allowing the development of the bone in an aligned manner. For this purpose, designs were developed using computational tools for 3D modeling and stress and displacement analysis. A prototype was built that allows the timely verification of the solution found, considering the fabrication of the solution taking into account the improvement opportunities found in the prototype.
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J. T. Tauer, M. E. Robinson, and F. Rauch, “Osteogenesis Imperfecta: New Perspectives From Clinical and Translational Research,” JBMR Plus, vol. 3, no. 8. Blackwell Publishing Ltd, 2019. https://doi.org/10.1002/jbm4.10174.
M. Jovanovic, G. Guterman-Ram, and J. C. Marini, “Osteogenesis Imperfecta: Mechanisms and Signaling Pathways Connecting Classical and Rare OI Types,” Endocr Rev, vol. 43, no. 1, pp. 61–90, 2022.
L. A. Morabito et al., “Osteogenesis Imperfecta/Ehlers–Danlos Overlap Syndrome and Neuroblastoma—Case Report and Review of Literature,” Genes (Basel), vol. 13, no. 4, Apr. 2022, https://doi.org/10.3390/genes13040581.
R. Bou Torrent, “Osteogénesis imperfecta,” Protocolos diagnósticos y terapéuticos en Pediatría, vol. 2, pp. 349–359, 2020.
A. Ibáñez and F. Hodgson, “Osteogénesis Imperfecta,” Revista Médica Clínica Las Condes, vol. 32, no. 3, pp. 311–318, 2021, https://doi.org/10.1016/j.rmclc.2020.09.004.
Ministerio de Salud Pública Ecuador, “Diagnóstico y tratamiento del paciente con osteogénesis imperfecta,” https://sedep.com.ec/wp-content/uploads/2021/05/Diagno%CC%81stico-y-tratamiento-del-paciente-con-osteoge%CC%81nesis-imperfecta.pdf, 2014. https://sedep.com.ec/wp-content/uploads/2021/05/Diagno%CC%81stico-y-tratamiento-del-paciente-con-osteoge%CC%81nesis-imperfecta.pdf (accessed May 19, 2022).
R. J. Escribano-Reya, J. Duart-Clemente, O. Martínez de la Llanac, and J. L. Beguiristáin-Gúrpide, “Osteogénesis imperfecta: tratamiento y resultado de una serie de casos,” Rev Esp Cir Ortop Traumatol, vol. 58, no. 2, pp. 114–119, 2014.
A. E. Hernández Coria, “Manejo de pacientes con osteogénesis imperfecta con clavos telescópicos roscados en el Instituto Nacional de Pediatría,” Universidad Nacional Autónoma de México, Ciudad de México, 2013.
J. C. Marini et al., “Osteogenesis imperfecta,” Nat Rev Dis Primers, vol. 3, no. 17052, 2017, https://doi.org/10.1038/nrdp.2017.52.
R. W. (Ed. ) Kruse, Osteogenesis Imperfecta: A Case-Based Guide to Surgical Decision-Making and Care. 2020.
Pega Medical, “Fassier-Duval el sistema telescópico intramedular,” Fassier Duval para cirujanos, 2019.