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As they grow, they expand and thin the cortex of the parent bone, producing considerable deformity.
Open image in new window Fig. 15 Lateral radiograph of the thigh in a young child with OI shows considerable deformity of the proximal femur with abnormal bone modelling and an associated fracture developing callus formation (arrow) Open image in new window Fig. 16 Lateral radiograph of the leg in a child with OI shows anterior bowing of the tibia.
Surgical management of these tumours can be extensive and may result in considerable deformity, particularly in the cases of facial BCC, including pinnectomy or rhinectomy.
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A substantial number of the patients in these reports had major pelvic ring deformities with considerable morbidity related to the deformity.
While most wounds heal with a scar that is acceptable to the patient, large scars cause considerable functional and cosmetic deformities, as well as psychological stress, and patient dissatisfaction.
Nevertheless, all residual deformities are considerable smaller compared to corrective osteotomies performed without patient-specific drill guides [ 23].
In all fractures with considerable axial or rotational deformities and/or non-anatomically reduced greater tuberosity, subsequent cut-out was evident in 8 cases.
They cause a considerable burden of morbidity, particularly deformity, as well as expense.
Considerable malunion contributes to jaw deformities like mandibular prognathism and open-bite.
There is considerable debate regarding the level of deformity and accuracy of reporting, particularly that with Genant's method the separation of the grades is not explicit [ 25].
Nevertheless, the features and flexibility of hindfoot and midfoot may play a considerable role, compensating the malalignment: usually varus deformity of the ankle is less manageable due to limited eversion abilities of the subtalar joint (DiDomenico & Gatalyak 2012).
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