■X连锁低磷血症性脊柱炎(XLHR)是遗传性病的最常见原因,可导致长骨畸形,需要多次手术矫正程序。此外,据报道,成年XLHR患者的骨折发生率很高.本研究旨在报告1例XLHR患者接受机械轴矫正治疗的股骨颈应力性骨折。在文献中没有发现任何先前的研究表明外翻矫正和头髓内钉固定术。
■一名47岁的男性XLHR患者因严重的左髋部疼痛就诊于门诊。X射线显示左股内翻畸形和股骨颈应力性骨折。1个月后疼痛无改善,也没有放射学的愈合迹象,股骨近端内翻畸形的矫正和颈颈骨折的固定是通过头髓内钉实现的。在8个月的随访中,股骨颈应力性骨折和股骨近端截骨术的影像学愈合可缓解髋部疼痛.
■对文献进行了回顾,以确定成人因髋内翻引起的股骨颈骨折固定的任何病例报告。髋内翻和XLHR均可引起股骨颈应力性骨折。这项研究提出了一种手术技术,用于治疗一例XLHR患者的罕见股骨颈应力性骨折。通过股骨头髓内钉矫正畸形和骨折固定术可缓解疼痛和骨愈合。显示了在患有coxavara的患者中矫正畸形和插入头髓内钉的技术。
UNASSIGNED: X-linked hypophosphatemic rachitis (XLHR) is the most common cause of hereditary rickets that can lead to long bone deformities requiring multiple surgical correction procedures. In addition, high rates of fractures are reported in adult XLHR patients. This study aimed to report a
case of femoral neck stress fracture in XLHR patient treated with mechanical axis correction. No previous studies demonstrating a combined valgus correction and cephalomedullary nail fixation were identified in the literature.
UNASSIGNED: A 47-year-old male patient with XLHR attended the outpatient clinic with severe left hip pain. X-rays revealed a left proximal femoral varus deformity and a femoral neck stress fracture. After 1 month without improvement of pain, and no radiographic sign of healing, correction of the proximal femoral varus deformity and fixation of the cervical neck fracture was achieved by a cephalomedullary nail. At 8 months follow-up, hip pain relief was achieved with radiographic healing of the femoral neck stress fracture and the proximal femoral osteotomy.
UNASSIGNED: A review of the literature was performed to identify any
case report of femoral neck fractures fixation due to coxa vara in an adult. Both coxa vara and XLHR can cause femoral neck stress fracture. This study presented the surgical technique for treating a rare
case of femoral neck stress fracture in a XLHR patient with coxa vara. Pain relief and bone healing were achieved by combined deformity correction and fracture fixation with a femoral cephalomedullary nail. The technique for deformity correction and cephalomedullary nail insertion in the patient with coxa vara is shown.