成骨不全症(OI)患者通常因轻微创伤而反复骨折,并且还患有影响行走的骨骼畸形。骨脆性和反复骨折会导致长骨畸形,尤其是股骨和胫骨。然而,OI中的股骨颈(NOF)骨折很少被描述。一名11岁男性患者,已知患有OI(IV型Sillence),跌倒后出现NOF骨折。他还在近端股骨前外侧弯曲,并在4年前插入的髓内(IM)棒上弯曲。他接受了矫正截骨术和稳定治疗,使用IM伸缩钉治疗股骨变形,并采用Wagner技术治疗NOF骨折。手术一年后,患者通过NOF骨折愈合和股骨畸形矫正,恢复了满意的功能结局.
■Wagner技术的方法可以实现股骨颈骨折的稳定固定,并且对同时插入的可伸缩钉的干扰最小。
■ElbaseetHM,易卜拉欣啊,AbolOyounN,etal.成骨不全症患者股骨颈骨折和股骨畸形的处理:一例报告。创伤肢体重建策略2024;19(1):56-59。
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.
UNASSIGNED: The method of the Wagner technique can achieve stable fixation for femoral neck fractures and introduces the least interference with concurrent telescoping nail insertion.
UNASSIGNED: Elbaseet HM, Ibrahim AH, Abol Oyoun N, et al. 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.