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骨硬化症的骨折治疗:一个引人入胜的谜题——外科医生指南

Fracture Management In Osteopetrosis : An Intriguing Enigma A Guide For Surgeons.

作者信息

Dawar Hitesh, Mugalakhod Vinayak, Wani Jahangir, Raina Deepak, Rastogi Surbhit, Wani Sayim

出版信息

Acta Orthop Belg. 2017 Sep;83(3):488-494.

Abstract

Osteopetrosis is a disorder of diminished bone resorption with hard and brittle bones resulting in high rates of perioperative complications during an operative intervention. We present a series of 4 Subtrochanteric fractures treated surgically in 3 patients of Osteopetrosis in a tertiary level Orthopaedic centre over the last 3 years with an aim to highlight our preparation and technique, especially as a guide to other surgeons, to minimize the complication rates and optimise the results. The patients had a mean Harris Hip Score of 85, at a mean follow up of 21.5 months ; the fractures united and all patients successfully returned to their normal activities of daily living.

摘要

骨硬化症是一种骨吸收减少的疾病,其骨骼坚硬且易碎,在手术干预期间导致围手术期并发症的发生率很高。我们展示了过去3年在一家三级骨科中心对3例骨硬化症患者手术治疗的4例转子下骨折病例,目的是强调我们的准备工作和技术,特别是作为其他外科医生的指南,以尽量降低并发症发生率并优化治疗结果。患者的平均Harris髋关节评分为85分,平均随访21.5个月;骨折愈合,所有患者均成功恢复正常日常生活活动。

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