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

2017 ◽  
Vol 3 (3) ◽  
pp. 14
Author(s):  
Mark T. Gorsche ◽  
Michelle S. Caird ◽  
Frances A. Farley ◽  
G. Ying Li ◽  
Matthew D. Abbott

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.

Author(s):  
Hakan Cici ◽  
Sabahaddin Kiliç

Objective: Pediatric femoral neck fractures are uncommon injuries. Accurate early reduction and fixation is recommended to avoid serious long-term complications. The aim of this study was to analyze the clinical and radiological outcomes of 12 children with femoral neck fractures who were treated with closed reduction and cannulated screw fixation. Method: Between November 2015 and December 2019, 12 children (4 males,8 females) with an average age of 9.7 were operated by closed reduction and cannulated screw fixation for femoral neck fractures. We evaluated the medical records of all patients, including age, gender, injury mechanism, fracture type, initial displacement, postoperative reduction, follow-up roentgenograms and Ratliff’s scores. Results: The mean follow-up was 22.3 months (range 12–47 months). Six Delbett type 2, five Delbett type 3 and one Delbett type 4 fractures were operated with an avarage time to surgery of 12.5 (range: 1-75 hours). Satisfactory outcomes according to Ratliff’s criteria were obtained in 10 (%83.3) children. Coxa vara occurred in 2 cases. Any avascular necrosis was not seen during the follow-up period. Conclusion: Early closed reduction and cannulated screw fixation may be effective to avoid long-term complications in pediatric femoral neck fractures. Keywords: Femoral neck fracture, Pediatric, Closed reduction


2018 ◽  
Vol 23 (3) ◽  
pp. 521-524 ◽  
Author(s):  
Yuta Nakanishi ◽  
Takafumi Hiranaka ◽  
Masahiro Shirahama ◽  
Masafumi Uesugi ◽  
Kenjiro Okimura ◽  
...  

2020 ◽  
Vol 74 ◽  
pp. 103-110 ◽  
Author(s):  
Lin Zhou ◽  
Jiaming Lin ◽  
Anfei Huang ◽  
Weidong Gan ◽  
Xu Zhai ◽  
...  

Medicine ◽  
2015 ◽  
Vol 94 (47) ◽  
pp. e2139 ◽  
Author(s):  
Chen Wang ◽  
Gui-Jun Xu ◽  
Zhe Han ◽  
Xuan Jiang ◽  
Cheng-Bao Zhang ◽  
...  

1997 ◽  
Vol 32 (1) ◽  
pp. 68
Author(s):  
Yung Khee Chung ◽  
Jung Han Yoo ◽  
Yong Wook Park ◽  
Dong Cheol Pyo

2019 ◽  
Vol 11 (1) ◽  
pp. 34-41
Author(s):  
Sheng-jun Duan ◽  
Hua-shui Liu ◽  
Wen-cheng Wu ◽  
Kun Yang ◽  
Zhen Zhang ◽  
...  

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