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Zhan-Feng Zhang,Dan Wang,Li-Dong Wu,Xue-Song Dai.[J].Chin J Traumatol,2017,20(3):173-176. [doi] |
Case report: A 10 years follow-up of periprosthetic femoral fracture after total hiparthroplasty in osteopetrosis |
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DOI: |
KeyWord: Osteopetrosis
Arthroplasty, replacement, hip
Periprosthetic femoral fractures |
FundProject: |
Author Name | Affiliation | Zhan-Feng Zhang | Department of Orthopaedic Surgery, The First People's Hospital of Huzhou, Huzhou, Zhejiang, 313000, China | Dan Wang | Department of Orthopaedic Surgery, The First People's Hospital of Huzhou, Huzhou, Zhejiang, 313000, China | Li-Dong Wu | Department of Orthopaedic Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310009, China | Xue-Song Dai | Department of Orthopaedic Surgery, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, 310009, China |
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Abstract: |
Osteopetrosis is an inherited disorder characterized by increased bone density and brittle bone quality. Degenerative changes often occur after the age of 40 in patients with osteopetrosis. Operative intervention is the primary treatment option if the clinical manifestation of secondary osteoarthritis is severe. A 44-year-old male suffering autosomal dominant osteopetrosis and progressive unilateral hip osteoarthritis required a total hip arthroplasty. However, there were several technical challenges associated with this procedure including creating a femoral medullary canal and developing a Vancouver type B2 periprosthetic femoral fracture postoperatively. To afford some experience for the management of similar cases, we here present our technical solutions to these problems. |
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