Osteopetrosis – A Challenge in Rare Situation.

Bengali, Rashmi; Jewalikar, Suhas; Joshi, Anil; Kulkarni, Jyoti V.; Nagar, Bharat

doi:10.14260/jemds/84

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Osteosynthesis has been the primary method for the surgical treatment of femoral osteopetrotic fractures. In addition, several implantation techniques have been developed thus far [ 10 , 21 ]. There are case reports in whom IMN was performed in the literature [ 17 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…In another publication, Cadosch et al [ 20 ] reported a 37-year-old male case of ADO type II with 1/3 proximal shaft fracture of the right femur, which was treated using IMN along with humerus and forearm fractures concomitantly. Contrary to previous studies, several authors reported patients in whom osteosynthesis was performed using various plate-screw systems with the concern of a narrow femoral canal and carving procedure-related possible complications [ 4 – 8 , 10 – 12 , 21 , 23 – 26 ]. Although some authors reported excellent outcomes of the plate-screw system, revision surgery due to implant failure was required in several cases [ 6 , 11 , 20 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…There was also an attempt to prevent implant failure through an augmented technique of osteosynthesis with the plate-screw system [ 7 , 25 ]. Kulkarni et al [ 21 ] reported a 22-year-old male case of ADO type II with the left femoral shaft fracture and a 47-year-old male case of ADO type II with the right subtrochanteric fracture. Both patients who underwent open reduction with internal fixation under combined spinal + epidural anesthesia were successfully treated.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review

Aslan¹,

Baykal

Uysal

et al. 2014

Case Reports in Orthopedics

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Osteopetrosis is a rare hereditary disease which is characterized by increased bone density. Bone resorption is insufficient or fails due to the osteoclast defect in osteopetrosis. Half of the patients are asymptomatic and diagnosed incidentally or based on the presence of fracture. Adult onset osteopetrosis usually presents with hip and proximal femoral fractures. Internal fixation can be performed; however, technical challenges may be experienced due to increased bone density. As in other fractures, nonunion or varus malunion of these fractures may occur. Although rare, osteopetrosis may complicate treatment of fractures in such patients. In this study, we aimed to present two new cases of ADO type II with an osteopetrotic femoral fracture along with the clinical and radiological findings in the light of a comprehensive literature review. Orthopaedics surgeons should be aware of intraoperative technical difficulties and possible postoperative complications during the follow-up period. Investigation would be beneficial for the diagnosis of osteopetrosis such the patient with fractures who has minor trauma history and increased bone density in radiography.

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Section: Discussionmentioning

confidence: 99%