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一例成年成骨不全患者髋臼骨折行切开复位内固定治疗的病例报告

Acetabular Fracture in a Skeletally Mature Patient With Osteogenesis Imperfecta Treated With Open Reduction Internal Fixation: A Case Report.

作者信息

Alsehly Mohamed A, Althagafi Mohammed A, Alfaraidy Siyad A

机构信息

Department of Orthopaedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

Department of Orthopaedic Surgery, Alfaisal University College of Medicine, Riyadh, SAU.

出版信息

Cureus. 2023 Dec 12;15(12):e50394. doi: 10.7759/cureus.50394. eCollection 2023 Dec.

DOI:10.7759/cureus.50394
PMID:38213356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10783596/
Abstract

Patients with osteogenesis imperfecta often present with and are managed for various fractures given the brittle bones associated with this disease. Acetabular fractures are one of the most complicated presentations and management is often strenuous on both the patient and the treating surgeon. There is a lack of evidence on how to approach these patients and not many cases reported in the literature. Open reduction and internal fixation can be successful for these patients given extra care is undergone to protect the patient's increased risk of intra-operative and post-operative complications, and a thorough understanding of the pathophysiology of this disease.

摘要

由于成骨不全症患者的骨骼脆弱,常出现各种骨折并接受相应治疗。髋臼骨折是最复杂的表现之一,对患者和主治外科医生来说,治疗往往都很艰巨。关于如何治疗这些患者,目前缺乏证据,文献中报道的病例也不多。鉴于此类患者术中及术后并发症风险增加,需要格外小心,同时要深入了解该疾病的病理生理学,切开复位内固定术对这些患者可能会取得成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/10783596/3505923221bc/cureus-0015-00000050394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/10783596/6e2197c4ecb1/cureus-0015-00000050394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/10783596/3505923221bc/cureus-0015-00000050394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/10783596/6e2197c4ecb1/cureus-0015-00000050394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a92/10783596/3505923221bc/cureus-0015-00000050394-i02.jpg

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Acetabular Fracture in a Skeletally Mature Patient With Osteogenesis Imperfecta Treated With Open Reduction Internal Fixation: A Case Report.一例成年成骨不全患者髋臼骨折行切开复位内固定治疗的病例报告
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本文引用的文献

1
Acetabular fracture and central hip dislocation in osteogenesis imperfecta child treated surgically with bone grafts augmented by recombinant human bone morphogenetic protein-2: A rare case report.成骨不全患儿髋臼骨折合并中心性髋关节脱位采用重组人骨形态发生蛋白-2增强骨移植手术治疗:1例罕见病例报告
Int J Surg Case Rep. 2023 Jul;108:108436. doi: 10.1016/j.ijscr.2023.108436. Epub 2023 Jun 22.
2
Augmentation of simultaneous acetabular and femoral neck fracture in osteogenesis imperfecta using photodynamic bone stabilization - A case report.应用光动力骨稳定技术治疗成骨不全症合并髋臼及股骨颈同时骨折——1例报告
Trauma Case Rep. 2019 May 14;24:100200. doi: 10.1016/j.tcr.2019.100200. eCollection 2019 Dec.
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Bilateral fractures of acetabulum in a young girl with osteogenesis imperfecta and epilepsy.
一名患有成骨不全症和癫痫的年轻女孩双侧髋臼骨折。
Trauma Case Rep. 2019 Nov 27;25:100265. doi: 10.1016/j.tcr.2019.100265. eCollection 2020 Feb.
4
Single-stage total hip arthroplasty and fracture fixation for a both column acetabular fracture in type I osteogenesis imperfecta.一期全髋关节置换术及骨折固定治疗Ⅰ型成骨不全症的双柱髋臼骨折
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5
Osteogenesis imperfecta: recent findings shed new light on this once well-understood condition.成骨不全症:近期的研究结果为这种曾经被充分了解的病症带来了新的认识。
Genet Med. 2009 Jun;11(6):375-85. doi: 10.1097/GIM.0b013e3181a1ff7b.
6
Femoral artery thrombosis after internal fixation of a transverse acetabular fracture in a patient with osteogenesis imperfecta type I.
Patient Saf Surg. 2008 Jan 14;2:1. doi: 10.1186/1754-9493-2-1.
7
Osteogenesis imperfecta:epidemiology and pathophysiology.成骨不全症:流行病学与病理生理学
Curr Osteoporos Rep. 2007 Sep;5(3):91-7. doi: 10.1007/s11914-007-0023-z.
8
Fractures of the acetabulum in osteogenesis imperfecta.成骨不全症中的髋臼骨折。
J Bone Joint Surg Br. 2006 May;88(5):670-2. doi: 10.1302/0301-620X.88B4.17335.
9
Operative treatment of displaced fractures of the acetabulum. A meta-analysis.髋臼移位骨折的手术治疗。一项荟萃分析。
J Bone Joint Surg Br. 2005 Jan;87(1):2-9.
10
Hemorrhagic disease in osteogenesis imperfecta; study of platelet functional defect.成骨不全症中的出血性疾病;血小板功能缺陷的研究
Am J Med. 1957 Feb;22(2):315-21. doi: 10.1016/0002-9343(57)90016-5.