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佩吉特病中的髋臼骨折固定术

Acetabular Fracture Fixation in Paget's Disease.

作者信息

Ambulgekar Rajesh Krishanrao, Ghag Niranjan Sunil

机构信息

Department of Orthopaedics, Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra, India.

出版信息

J Orthop Case Rep. 2022 Dec;12(12):6-10. doi: 10.13107/jocr.2022.v12.i12.3442.

DOI:10.13107/jocr.2022.v12.i12.3442
PMID:37056594
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10088386/
Abstract

INTRODUCTION

Acetabular injuries are uncommon, with a reported yearly incidence of three cases per 100,000 people. Paget's disease of the bones is a frequent condition marked by accelerated yet disordered bone remodeling. Some people have no symptoms, but others have bone discomfort or other consequences, including fractures and deformities.

CASE REPORT

We are presenting the case of a 38-year-old man with Paget's disease who had a right roof, anterior wall, and posterior wall fracture of the acetabulum with an inferior pubic rami fracture, which was treated surgically with a plate and screw followed by physiotherapy and resulted in a favorable clinical outcome.

CONCLUSION

Paget's disease may be asymptomatic initially but may present with pathological fractures. Acetabular fractures in these patients have a good clinical outcome if they are repaired, but increased bone remodeling can lead to arthritic changes.

摘要

引言

髋臼损伤并不常见，据报道每年发病率为每10万人中有3例。佩吉特骨病是一种常见病症，其特征是骨重塑加速但紊乱。有些人没有症状，但其他人会出现骨骼不适或其他后果，包括骨折和畸形。

病例报告

我们报告一例38岁患有佩吉特骨病的男性病例，该患者髋臼右顶、前壁和后壁骨折并伴有耻骨下支骨折，通过钢板螺钉手术治疗，随后进行物理治疗，临床结果良好。

结论

佩吉特骨病最初可能无症状，但可能出现病理性骨折。这些患者的髋臼骨折如果得到修复，临床结果良好，但骨重塑增加会导致关节炎改变。

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