Treatment of Femur Neck Fracture in Children with Osteogenesis Imperfecta.
- Resource Type
- Article
- Authors
- Morcos, Mina W.; Hamdy, Reggie C.; Fassier, Francois; Saran, Neil
- Source
- JBJS Case Connector. Oct-Dec2019, Vol. 9 Issue 4, p1-5. 5p.
- Subject
- *FEMUR neck
*OSTEOGENESIS imperfecta
*SPINAL surgery
*OPERATIVE surgery
- Language
- ISSN
- 2160-3251
Case: We present 2 cases of femoral neck fracture (FNF) in patients with osteogenesis imperfecta (OI) with a previously placed intramedullary nail (IMN). Case 1: A 12-year-old girl who sustained a right FNF after spine surgery. Case 2: An 18-year-old boy who sustained a right FNF after IMN of the left side. Both patients underwent our modified surgical technique as described below. Both patients recovered well overall. Conclusions: FNF in patients with OI poses a significant challenge especially in the presence of an IMN. Here, we describe a surgical technique that provides stable fixation with a less stress riser effect by bypassing the screws and a previously placed nail. [ABSTRACT FROM AUTHOR]