Rehabilitation Medicine, Philippine General Hospital, Manila, Philippines
Rehabilitation Medicine, Philippine General Hospital, Manila, Philippines.
BMJ Case Rep. 2021 Apr 5;14(4):e239884. doi: 10.1136/bcr-2020-239884.
This is a case of a 54-year-old woman managed as a case of osteogenesis imperfecta type 1 who sustained a left subtrochanteric fracture and eventual ankylosis of both hips after surgery and immobilisation. These injuries rendered her bedridden, maximally assisted in transitions and transfers, and unable to be positioned past 30° of backrest elevation. The patient underwent a bilateral Girdlestone procedure and had tailored progressive postoperative rehabilitation in both the inpatient and outpatient settings. The patient also continued to receive bisphosphonates during her preoperative and postoperative period, to improve bone stock and aid in relieving pain. Through the efforts of a team of physiatrists, geneticists and orthopaedic surgeons, the patient was able to achieve pain-free sitting, independent transitions and short-distance ambulation, which have allowed her to care for herself more effectively and return to her work and activities of daily living.
这是一例 54 岁女性病例，被诊断为 1 型成骨不全症。她在手术后和固定后发生左侧转子下骨折，最终导致双侧髋关节强直。这些损伤使她卧床不起，在转移和转位时需要最大程度的协助，并且背部抬高超过 30°时无法保持坐姿。患者接受了双侧 Girdlestone 手术，并在住院和门诊环境中接受了个性化的术后康复治疗。在术前和术后期间，患者还继续接受双膦酸盐治疗，以改善骨量并缓解疼痛。通过物理治疗师、遗传学家和骨科医生团队的努力，患者能够实现无痛坐姿、独立转移和短距离步行，这使她能够更有效地照顾自己并恢复工作和日常生活活动。
