Issues

Surgical treatment in Paget´s disease of bone

Journal: Osteologie
ISSN: 1019-1291
Topic:

Morbus Paget des Skeletts

Issue: Issues of 2011 (Vol. 20): Issue 2 2011 (105-192)
Pages: 138-142

Surgical treatment in Paget´s disease of bone

A. A. Kurth (1)

(1) Klinik und Poliklinik für Orthopädie und orthopädische Chirurgie, Universitätsmedizin der Johannes Gutenberg Universität Mainz

Keywords

Osteotomy, bisphosphonates, Paget´s disease, metabolic bone disease, surgical treatment of fractures, endoprosthetics

Summary

Paget’s disease of bone, an often undiagnosed metabolic bone disease, can lead to dramatic skeletal changes with enlargement and bowing of the affected bones. The article gives an overview on recent perspectives on surgical treatment options. Fracture fixation, total joint replacements, osteotomies of long bones and spinal decompression are the most relevant surgical procedures in Pagets disease. Along with preoperative planning of the intervention itself, a pharmacological anti-paget treatment with bisphosphonates is mandatory to reduce peri- and postoperative complications.

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