Published in:
Open Access
01-12-2021 | Femoral Fracture | Case report
Further understanding on osteopetrotic femoral fractures: a case report and literature review
Authors:
Haiqi Ding, Hongjiang Chen, Haiming Lin, Jiankun Xu, Zhonglian Huang, Wensheng Li, Jun Hu
Published in:
BMC Surgery
|
Issue 1/2021
Login to get access
Abstract
Background
Osteopetrosis is a genetic disease characterized by defects in osteoclast formation and function. There were a few cases of subtrochanteric femur fractures treated with dynamic hip screw (DHS) in patients with osteopetrosis, but unfortunately the healing outcome was rather poor.
Case presentation
We present our experience for treating a patient with intermediate autosomal recessive osteopetrosis (IRO) suffering from subtrochanteric femur fracture. In this case, we successfully used dynamic hip screw (DHS) internal fixation through meticulous preoperative planning and postoperative care, as well as application of surgical techniques. The patient displayed stable internal fixation with no limitation of activities during follow-up for 15 months. In addition to this case, a review of previous case reports showed an increasing number of case reports demonstrating that surgical treatment-related complications could be avoided preoperatively, intraoperatively, and postoperatively.
Conclusion
DHS for this patient, who suffered from subtrochanteric fractures with osteopetrosis, was successfully implemented. In the light of a comprehensive literature review, preoperative planning, surgical techniques, and postoperative rehabilitation care can significantly reduce the complications.