Mataliotakis G, Lykissas M G, Mavrodontidis A N, Kontogeorgakos V A, Beris A E
Department of Orthopaedic Surgery, University of Ioannina School of Medicine, Ioannina, PC 45110, Greece.
J Musculoskelet Neuronal Interact. 2009 Jul-Sep;9(3):130-7.
Pathological fractures after minor trauma in osteopenic patients are not uncommon, but fractures due to hypocalcemic convulsions in patients with renal insufficiency are relatively rare. Though similar cases have been reported in the literature, this type of fracture is still an unusual condition. The complex underlying pathophysiological mechanisms and the poor bone mineral density signify the employment of specific hardware and a different treatment approach, especially in young adults, where the salvage of the femoral head is of utmost importance. The aim of this review is to examine the specific features of the femoral neck fractures in young individuals who suffer from renal osteodystrophy and the treatment algorithm should be followed. The patient's age, the uremic condition, the skeletal maturity and the bone properties in renal osteodystrophy are examined in relation to the priorities in osteosynthesis methods. A conclusive treatment algorithm is proposed where all the relevant parameters are incorporated.
骨质疏松患者在轻微创伤后发生病理性骨折并不罕见，但肾功能不全患者因低钙惊厥导致的骨折相对少见。尽管文献中已有类似病例报道，但这种类型的骨折仍然是一种不寻常的情况。复杂的潜在病理生理机制和较差的骨密度表明需要采用特定的硬件和不同的治疗方法，尤其是在年轻人中，保住股骨头至关重要。本综述的目的是研究患有肾性骨营养不良的年轻个体股骨颈骨折的具体特征以及应遵循的治疗方案。结合骨合成方法的优先级，对患者的年龄、尿毒症状况、骨骼成熟度和肾性骨营养不良中的骨特性进行了研究。提出了一种纳入所有相关参数的确定性治疗方案。
