AI Article Synopsis

  • Osteogenesis imperfecta (OI) leads to fragile bones, resulting in frequent fractures and deformities, particularly in the femur and tibia, but neck of femur (NOF) fractures are uncommon.
  • An 11-year-old boy with type IV OI sustained a NOF fracture from a minor fall and underwent surgery that involved corrective osteotomy and stabilization using an intramedullary (IM) telescoping nail, along with the Wagner technique for the NOF fracture.
  • One year post-surgery, the patient achieved good functional recovery with union of the NOF fracture and improved alignment of the femur, demonstrating the effectiveness of the Wagner technique for treatment.

Article Abstract

Unlabelled: Osteogenesis imperfecta (OI) patients usually sustain repeated fractures from trivial trauma and also have skeletal deformities that affect walking. The bone fragility and repeated fractures produce deformities of the long bones especially in femur and tibia. However, neck of femur (NOF) fractures in OI are rarely described. A 11-year-old male patient known to have OI (Sillence type IV) sustained a NOF fracture after a fall. He also had proximal femoral anterolateral bowing proximally and over an intramedullary (IM) rod inserted 4 years back. He was treated by corrective osteotomy and stabilisation with an IM telescoping nail for the deformed femur and the Wagner technique for the NOF fracture. One year after operation, the patient had recovered satisfactory functional outcome with union of the NOF fracture and correction of the femoral deformity.

Conclusion: The method of the Wagner technique can achieve stable fixation for femoral neck fractures and introduces the least interference with concurrent telescoping nail insertion.

How To Cite This Article: Elbaseet HM, Ibrahim AH, Abol Oyoun N, . Management of Combined Fracture Neck of Femur and Femoral Deformity in Osteogenesis Imperfecta Patient: A Case Report. Strategies Trauma Limb Reconstr 2024;19(1):56-59.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11091891PMC
http://dx.doi.org/10.5005/jp-journals-10080-1611DOI Listing

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