Application of Femoral Nail, Reconstruction Locked Plate and Bone Morphogenic Protein - 7 in an Osteopetrosis Patient with a Recurrent Femoral Shaft Fracture: A Case Report

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2023 Aug 10

PMID 37562280

Authors

Hui Liu

Jin-Hui Zhang

De-Qing Luo

Tao-Yi Cai

Yong-Zhi Lin

Jin Wu

Affiliations

Soon will be listed here.

Abstract

Introduction And Importance: Femoral fractures are common in the patients with osteopetrosis and multiple treatment strategies have been described with varying results. However, there is a paucity of literature describing the treatment of recurrent fractures and subsequent deformity.

Case Presentation: We present detailed revision strategies and long-term follow-up results of a patient with osteopetrosis who suffered unsuccessful operative treatment using the plate-screw system (recurrent femoral shaft fracture and implant failure).

Clinical Discussion: The success of revision surgery of osteopetrosis is based on good preoperative planning, appropriate selection of fixation methods, and a meticulous approach during surgery. The combined application of the expert adolescent lateral femoral nail, the reconstruction locked plate, and bone morphogenic protein (BMP)-7 in this patient achieved good clinical results.

Conclusion: In the treatment of failed plated and recurrent osteopetrotic femoral shaft fractures, the combination of nails and plating presents an alternative, potentially more successful, revision strategy.

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