Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient
The management of nonunion and limb length discrepancy has remained a constant challenge in hemophilic patients. In this study, we aimed to present the treatment of femur infected nonunion and limb length discrepancy in a twenty-seven-year-old patient with hemophilia type A. A 27-year-old male patie...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/3045262 |
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| author | Ahmet Salduz Özcan Kaya Halil İbrahim Balci Turgut Akgul Fatih Dikici Bülent Zülfikar Mehmet Kocaoğlu |
| author_facet | Ahmet Salduz Özcan Kaya Halil İbrahim Balci Turgut Akgul Fatih Dikici Bülent Zülfikar Mehmet Kocaoğlu |
| author_sort | Ahmet Salduz |
| collection | DOAJ |
| description | The management of nonunion and limb length discrepancy has remained a constant challenge in hemophilic patients. In this study, we aimed to present the treatment of femur infected nonunion and limb length discrepancy in a twenty-seven-year-old patient with hemophilia type A. A 27-year-old male patient with hemophilia type A referred to our institution for the treatment of right femur infected nonunion and 10 cm shortness of the femur. Resection of the nonunion site and bone-to-bone fixation with autologous bone grafting were performed. Compression to the pseudoarthrosis site and distraction from new osteotomy site were applied with the unilateral external fixator. Union was achieved, and 6 cm lengthening was obtained according to the initial length. Patient was followed up for 7 years. After this treatment, the patient is able to walk with full weight bearing on the affected extremity with 4 cm shortening which is compensated by the heel lift. The results of this case indicate that limb lengthening and treatment of nonunion with the external fixation could be reliable and effective method for hemophilic patients. |
| format | Article |
| id | doaj-art-66a2a5bc520942a6ac255d7ea1d2dc5c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-66a2a5bc520942a6ac255d7ea1d2dc5c2025-02-03T05:58:19ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/30452623045262Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia PatientAhmet Salduz0Özcan Kaya1Halil İbrahim Balci2Turgut Akgul3Fatih Dikici4Bülent Zülfikar5Mehmet Kocaoğlu6Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, 34093 Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, 34093 Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, 34093 Istanbul, TurkeyIstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, 34093 Istanbul, TurkeyAtakent Hospital, Acibadem University, Istanbul, TurkeyOncology Institute, Division of Pediatric Hematology-Oncology, Istanbul University, Istanbul, TurkeyMemorial Şişli Hospital, Istanbul, TurkeyThe management of nonunion and limb length discrepancy has remained a constant challenge in hemophilic patients. In this study, we aimed to present the treatment of femur infected nonunion and limb length discrepancy in a twenty-seven-year-old patient with hemophilia type A. A 27-year-old male patient with hemophilia type A referred to our institution for the treatment of right femur infected nonunion and 10 cm shortness of the femur. Resection of the nonunion site and bone-to-bone fixation with autologous bone grafting were performed. Compression to the pseudoarthrosis site and distraction from new osteotomy site were applied with the unilateral external fixator. Union was achieved, and 6 cm lengthening was obtained according to the initial length. Patient was followed up for 7 years. After this treatment, the patient is able to walk with full weight bearing on the affected extremity with 4 cm shortening which is compensated by the heel lift. The results of this case indicate that limb lengthening and treatment of nonunion with the external fixation could be reliable and effective method for hemophilic patients.http://dx.doi.org/10.1155/2016/3045262 |
| spellingShingle | Ahmet Salduz Özcan Kaya Halil İbrahim Balci Turgut Akgul Fatih Dikici Bülent Zülfikar Mehmet Kocaoğlu Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient Case Reports in Orthopedics |
| title | Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient |
| title_full | Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient |
| title_fullStr | Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient |
| title_full_unstemmed | Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient |
| title_short | Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient |
| title_sort | surgical treatment of an infected nonunion of the middle third of the femur associated with femoral shortening in a hemophilia patient |
| url | http://dx.doi.org/10.1155/2016/3045262 |
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