A Case of Screw Fixation of Femur Neck Fracture With the Use of Computer Navigation in a Woman With Osteogenesis Imperfecta

Foo, Chi Chung; Chong, Keen Wai; Wong, Manzhi

doi:10.1097/01.ta.0000197149.09525.9b

Cited by 12 publications

(20 citation statements)

References 4 publications

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“…All three of our patients also had coxa vara deformity prior to their fractures although none developed a worsening of this post operatively which has been previously described in the literature. [10,11] AVN is another feared complication in pathologic femoral neck fractures in young patients and in our series no patients developed this. [4,11] Figure 7.…”

Section: Discussionmentioning

confidence: 91%

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Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique

Gorsche

Caird

Farley

et al. 2017

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Case: We conducted a retrospective review of three cases of femoral neck fractures treated operatively in patients with osteogenesis imperfecta (OI). All of our patients had acetabular protrusio as well as coxa vara deformity. All patients successfully underwent cannulated screw fixation without avascular necrosis (AVN). One patient required a sub-adductor hip arthrogram during a revision procedure to assist with visualization of the proximal femur which resulted in improved screw purchase. Conclusions: We report on three cases of femoral neck fractures in OI patients and a previously undescribed technique; using a hip arthrogram to assist in fluoroscopic evaluation of the proximal femur in these osteopenic patients.

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Section: Discussionmentioning

confidence: 91%

“…Cannulated screw fixation has been used successfully in other case series without complications typically associated with femoral neck fractures in young patients. [10][11][12][13] Our patients all underwent cannulated screw fixation without AVN, or worsening coxa vara. Although our limited follow up time is a weakness of this series.…”

Section: Discussionmentioning

confidence: 99%

Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique

Gorsche

Caird

Farley

et al. 2017

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“…We found only one related article. We have summarised all the six English literatures [11][12][13][14][15][16] available regarding fractures of the neck of femur in patients with OI (Table 2). Furthermore, only a few studies had detailed documentation of the treatment methods and outcome.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent in nearly all existing cases found in the literature. In a case report by Chung et al [13], the authors found a fracture in the neck of femur in an adult female who already had an IM nail in situ. The fracture was fixed with cannulated cancellous screws, with the aid of a navigation system to guide the entry point.…”

Section: Pre-existing Implantsmentioning

confidence: 99%

Management pitfalls of fractured neck of femur in osteogenesis imperfecta

Chow

Negandhi

Kuong

et al. 2013

Journal of Children's Orthopaedics

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Introduction Fractured neck of femur in osteogenesis imperfecta is rarely reported. Its management is always difficult because of bone fragility and the outcome is not well known. We, therefore, aimed to study the management pitfalls in this group of patients. Methods We retrospectively reviewed five cases of fractured neck of femur in four patients treated in our hospital between 2006 and 2009. The demographic data, mode of injury, fracture configuration, treatment, complications, clinical and radiological outcome were reviewed. Results According to the Sillence classification, one patient was type I, two were type III and one was type IV. There were two children (aged 8 and 15 years) and two adults (aged 21 and 22 years), with the 8 year-old girl suffering from hip fracture on different sides in two accidents. All five hip fractures were the result of low-energy injury and were associated with other fractures. Two undisplaced fractures required intra-operative fluoroscopic confirmation to demonstrate movement at the fracture site.

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“…It is used for navigated guidewire and subsequent implant placement in femoral neck fracture fi xation (retrograde drilling into the femoral neck and head) and in positioning of the femoral component in HR (anterograde drilling into the femoral head and neck) [10,26,35] .…”

Section: D Fl Uoroscopy-based Navigationmentioning

confidence: 99%

Fluoroscopy-based computer-assisted navigation for implant placement and hip resurfacing arthroplasty in the proximal femur: the zero-dose C-arm navigation approach

Müller

Kabir²,

Gravius³

et al. 2012

Biomedizinische Technik/Biomedical Engineering

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In the proximal femur, a high accuracy of implant placement reduces the risk of mechanical failure. We have tested a new computer-assisted planning and navigation system based on two-dimensional fluoroscopy using the so-called zero-dose C-arm navigation approach to optimise implant placement in fracture fixation and hip resurfacing. The aim of this review is to compare the results of this system with the current literature. Use of the novel system enables a minimally invasive approach to the hip and results in enhanced accuracy of implant placement compared with conventional techniques. Its precision is comparable to navigation systems currently in the market. The new system reduces irradiation but requires more operation time in comparison with established navigation systems. We believe zero-dose C-arm navigation can effectively be used to support surgeons in modern orthopaedic and trauma surgery departments, and can sufficiently serve the demands of both sections, especially at a time focusing on saving costs.

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A Case of Screw Fixation of Femur Neck Fracture With the Use of Computer Navigation in a Woman With Osteogenesis Imperfecta

Cited by 12 publications

References 4 publications

Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique

Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique

Management pitfalls of fractured neck of femur in osteogenesis imperfecta

Fluoroscopy-based computer-assisted navigation for implant placement and hip resurfacing arthroplasty in the proximal femur: the zero-dose C-arm navigation approach

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