Atypical Femur Fracture Nonunion in a Patient with Osteogenesis Imperfecta
Journal Title: Journal of Case Reports and Studies - Year 2018, Vol 6, Issue 4
Abstract
Case: Here, we present a 43-year-old male with osteogenesis imperfecta (OI) with previously placed intramedullary growing rods that sustained an atypical femur fracture (AFF) following long-term bisphosphonate use. He additionally experienced a non-traumatic ipsilateral femoral neck fracture that was successfully managed with operative stabilization. Despite previous reports following successful conservative management for AFF in patients with OI, nonunion developed requiring osteotomy and surgical stabilization. Discussion: AFF in patients with OI should be closely monitored for nonunion. Pediatric literature of conservative management may not be applicable to adult patients. Osteotomy and surgical stabilization may be required for fracture union. Conclusion: Osteotomy and internal fixation utilizing a Dynamic Condylar Screw can be an effective way to achieve union in a subtrochanteric atypical femur fracture in a patient with OI.
Authors and Affiliations
Triplet JJ
Keywords
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- EP ID EP584874
- DOI 10.15744/2348-9820.6.404
- Views 75
- Downloads 0
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