一名52岁成骨不全相关股骨颈骨折患者的髋关节半关节置换术：病例报告
Hemiarthroplasty of the Hip in a 52-Year-old Patient with Osteogenesis Imperfecta-Related Femoral Neck Fracture: A Case Report.
作者信息
Maeder B, Hanauer M, Poglia P, Chevalley F, Thein E
机构信息
Department of Orthopedics and Trauma, CHUV Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011 Lausanne, Switzerland.
出版信息
J Orthop Case Rep. 2018 Sep-Oct;8(5):86-88. doi: 10.13107/jocr.2250-0685.1226.
INTRODUCTION
Osteogenesis imperfecta (OI)-related femoral neck fractures are rare. This is rarely described in the literature. This article presents a way to surgically treat such a fracture.
CASE REPORT
We describe the case of a 52-year-old patient with OI Type III with a displaced femoral neck fracture with varus deformity. We performed a hemiarthroplasty of the hip with valgus and shortening osteotomy of the proximal femoral shaft.
CONCLUSION
The incidence of OI is 1 in 10,000-,000 births. People suffering from OI are known to be at more risk of fractures. Due to the bone deformity and weakness, treatment of fractures in patients with OI is a big challenge for orthopedic surgeons. Combined osteotomy and hemiarthroplasty is a reliable technique to treat a femoral neck fracture in a patient with typical OI-related varus deformity of the femora.
引言
成骨不全（OI）相关的股骨颈骨折较为罕见。文献中对此鲜有描述。本文介绍了一种手术治疗此类骨折的方法。
病例报告
我们描述了一名52岁III型成骨不全患者，其股骨颈骨折移位并伴有内翻畸形。我们对该患者进行了髋关节半关节置换术，并对股骨近端进行了外翻和缩短截骨术。
结论
成骨不全的发病率为1/10000000。已知成骨不全患者骨折风险更高。由于骨骼畸形和脆弱，成骨不全患者的骨折治疗对骨科医生来说是一项巨大挑战。联合截骨术和半关节置换术是治疗典型成骨不全相关股骨内翻畸形患者股骨颈骨折的可靠技术。
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