Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review

Osteopetrosis is a rare hereditary disease which is characterized by increased bone density. Bone resorption is insufficient or fails due to the osteoclast defect in osteopetrosis. Half of the patients are asymptomatic and diagnosed incidentally or based on the presence of fracture. Adult onset oste...

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Main Authors: Ahmet Aslan, Yakup Barbaros Baykal, Emin Uysal, Tolga Atay, Vecihi Kirdemir, Metin Lütfi Baydar, Nevres Hürriyet Aydoğan
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/891963
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author Ahmet Aslan
Yakup Barbaros Baykal
Emin Uysal
Tolga Atay
Vecihi Kirdemir
Metin Lütfi Baydar
Nevres Hürriyet Aydoğan
author_facet Ahmet Aslan
Yakup Barbaros Baykal
Emin Uysal
Tolga Atay
Vecihi Kirdemir
Metin Lütfi Baydar
Nevres Hürriyet Aydoğan
author_sort Ahmet Aslan
collection DOAJ
description Osteopetrosis is a rare hereditary disease which is characterized by increased bone density. Bone resorption is insufficient or fails due to the osteoclast defect in osteopetrosis. Half of the patients are asymptomatic and diagnosed incidentally or based on the presence of fracture. Adult onset osteopetrosis usually presents with hip and proximal femoral fractures. Internal fixation can be performed; however, technical challenges may be experienced due to increased bone density. As in other fractures, nonunion or varus malunion of these fractures may occur. Although rare, osteopetrosis may complicate treatment of fractures in such patients. In this study, we aimed to present two new cases of ADO type II with an osteopetrotic femoral fracture along with the clinical and radiological findings in the light of a comprehensive literature review. Orthopaedics surgeons should be aware of intraoperative technical difficulties and possible postoperative complications during the follow-up period. Investigation would be beneficial for the diagnosis of osteopetrosis such the patient with fractures who has minor trauma history and increased bone density in radiography.
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institution Kabale University
issn 2090-6749
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-9bebc843541f4464a2a17ab1a884914b2025-02-03T01:03:44ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/891963891963Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature ReviewAhmet Aslan0Yakup Barbaros Baykal1Emin Uysal2Tolga Atay3Vecihi Kirdemir4Metin Lütfi Baydar5Nevres Hürriyet Aydoğan6Departments of Orthopaedics and Traumatology, Afyonkarahisar State Hospital, Orhangazi Mh. Nedim Helvacıoglu Cd. No. 73 Uydukent, 03100 Afyonkarahisar, TurkeyDepartments of Orthopaedics and Traumatology, Medical Faculty, Süleyman Demirel University, Isparta, TurkeyDepartment of Emergency and First Aid, Bağcılar Education and Research Hospital, Istanbul, TurkeyDepartments of Orthopaedics and Traumatology, Medical Faculty, Süleyman Demirel University, Isparta, TurkeyDepartments of Orthopaedics and Traumatology, Medical Faculty, Süleyman Demirel University, Isparta, TurkeyTBMM, Ankara, TurkeyDepartments of Orthopaedics and Traumatology, Ankara Education and Research Hospital, Ankara, TurkeyOsteopetrosis is a rare hereditary disease which is characterized by increased bone density. Bone resorption is insufficient or fails due to the osteoclast defect in osteopetrosis. Half of the patients are asymptomatic and diagnosed incidentally or based on the presence of fracture. Adult onset osteopetrosis usually presents with hip and proximal femoral fractures. Internal fixation can be performed; however, technical challenges may be experienced due to increased bone density. As in other fractures, nonunion or varus malunion of these fractures may occur. Although rare, osteopetrosis may complicate treatment of fractures in such patients. In this study, we aimed to present two new cases of ADO type II with an osteopetrotic femoral fracture along with the clinical and radiological findings in the light of a comprehensive literature review. Orthopaedics surgeons should be aware of intraoperative technical difficulties and possible postoperative complications during the follow-up period. Investigation would be beneficial for the diagnosis of osteopetrosis such the patient with fractures who has minor trauma history and increased bone density in radiography.http://dx.doi.org/10.1155/2014/891963
spellingShingle Ahmet Aslan
Yakup Barbaros Baykal
Emin Uysal
Tolga Atay
Vecihi Kirdemir
Metin Lütfi Baydar
Nevres Hürriyet Aydoğan
Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
Case Reports in Orthopedics
title Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
title_full Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
title_fullStr Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
title_full_unstemmed Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
title_short Surgical Treatment of Osteopetrosis-Related Femoral Fractures: Two Case Reports and Literature Review
title_sort surgical treatment of osteopetrosis related femoral fractures two case reports and literature review
url http://dx.doi.org/10.1155/2014/891963
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