A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis: a case reportReportar como inadecuado




A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Medical Case Reports

, 3:15

First Online: 13 January 2009Received: 06 February 2008Accepted: 13 January 2009DOI: 10.1186-1752-1947-3-15

Cite this article as: Rafiq, I., Kapoor, A., Burton, D.J. et al. J Med Case Reports 2009 3: 15. doi:10.1186-1752-1947-3-15

Abstract

IntroductionOsteopetrosis introduces technical limitations to the traditional treatment of fracture management that may be minimised with specific pre-operative planning. Extreme care and caution are required when drilling, reaming, or inserting implants in patients with osteopetrosis. Caution must be exercised throughout the postoperative course when these patients are at greatest risk for device failure or further injury.

Case presentationWe present our experience of treating such a fracture where a patient presented with a non-united fracture of the humerus. The bone was already osteoporotic. We successfully used a new technique which has not been described in the literature before. This included the use of a high-speed drill to prepare the bone for screw fixation. Bone healing was augmented with bone morphogenic protein.

ConclusionThis technique can give invaluable experience to surgeons who are involved in treating these types of fracture.

AbbreviationsBMPbone morphogenic protein

HSShigh speed steel

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-3-15 contains supplementary material, which is available to authorized users.

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Autor: Imran Rafiq - Amit Kapoor - David JC Burton - John F Haines

Fuente: https://link.springer.com/



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