A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis: A case report

被引：6

作者：

Rafiq I. ^{[1
,2
]}

Kapoor A. ^{[1
]}

Burton D.J.C. ^{[1
]}

Haines J.F. ^{[1
]}

机构：

[1] Upper Limb Unit, Wrightington Hospital, Wigan, Lancashire WN6 9EP, Hall Lane, Appley Bridge

[2] Feltham TW13 4GS, Highfield Road

来源：

Journal of Medical Case Reports | / 3卷 / 1期

关键词：

Proximal Humerus; Bone Morphogenic Protein; Osteopetrosis; Medullary Canal; Diaphyseal Fracture;

D O I：

10.1186/1752-1947-3-15

中图分类号：

学科分类号：

摘要：

Introduction: Osteopetrosis introduces technical limitations to the traditional treatment of fracture management that may be minimised with specific pre-operative planning. Extreme care and caution are required when drilling, reaming, or inserting implants in patients with osteopetrosis. Caution must be exercised throughout the postoperative course when these patients are at greatest risk for device failure or further injury. Case presentation: We present our experience of treating such a fracture where a patient presented with a non-united fracture of the humerus. The bone was already osteoporotic. We successfully used a new technique which has not been described in the literature before. This included the use of a high-speed drill to prepare the bone for screw fixation. Bone healing was augmented with bone morphogenic protein. Conclusion: This technique can give invaluable experience to surgeons who are involved in treating these types of fracture. © 2009 Rafiq et al; licensee BioMed Central Ltd.

引用

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