Alsehly Mohamed A, Althagafi Mohammed A, Alfaraidy Siyad A
Department of Orthopaedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Department of Orthopaedic Surgery, Alfaisal University College of Medicine, Riyadh, SAU.
Cureus. 2023 Dec 12;15(12):e50394. doi: 10.7759/cureus.50394. eCollection 2023 Dec.
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.
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。