Adolescents with Dysplastic Bone (including Osteogenesis Imperfecta)

Description

This presentation, delivered by Mitchell Bernstein, focuses on the complexities associated with managing patients diagnosed with Osteogenesis Imperfecta (OI). Beginning with an overview of OI, Bernstein clarifies that it's a hereditary disorder primarily defined by a phenotype rather than specific genetic mutations, organizing the various types into a simplified classification system. The session addresses the unique challenges faced by orthopedic surgeons in treating this patient population, especially in the context of limb alignment and anatomical considerations.



Bernstein emphasizes the importance of understanding both the surgical tactics and the mechanical axis of the femur, stressing that the biomechanics of the bones in OI patients require very specific surgical approaches. Various case studies are shared, illustrating the complexities encountered during surgeries, the importance of patient positioning, and the successful application of innovative techniques such as intra-medullary nailing.



He illustrates the use of various implant types, challenges posed by the small canals in OI patients, and the liaison between pediatric and adult orthopedic care. The implications of obesity, repeated fractures, and the necessity for a multidisciplinary approach to treatment are discussed, highlighting that patient management may involve specialists from prosthetics to genetics.



Through detailed narratives of individual patients, including their past surgeries and outcomes, Bernstein shares the continual need for adaptation in treatment methods. He concludes with a reminder of the importance of mentoring and maintaining relationships within the medical community to enhance patient care.

Specialties