Surgical management of an acetabular fracture in type- I osteogenesis imperfecta through a modified Stoppa approach - A case report and literature review

Osteogenesis imperfecta (OI) is a disease caused by a genetic defect in collagen formation, leading to defective bone structure with osteopenia and repeated fractures. Case presentation: A male patient, 17 years old, diagnosed with OI type I, presented after falling downstairs with a right acetabulu...

Full description

Saved in:
Bibliographic Details
Published inJournal of Orthopaedic Reports Vol. 2; no. 4; p. 100217
Main Authors Fergany, Ali, Khalifa, Ahmed A., Farouk, Osama
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.12.2023
Elsevier
Subjects
Acetabular fracture
Modified Stoppa approach
Osteogenesis imperfecta
Osteogenesis imperfecta
Acetabular fracture
Modified Stoppa approach
Online AccessGet full text

Cover

More Information
Summary:Osteogenesis imperfecta (OI) is a disease caused by a genetic defect in collagen formation, leading to defective bone structure with osteopenia and repeated fractures. Case presentation: A male patient, 17 years old, diagnosed with OI type I, presented after falling downstairs with a right acetabulum fracture classified as an anterior column with a posterior hemitransverse fracture. The patient was treated by ORIF through a modified Stoppa approach; the anterior column was fixed using 3.5 locked reconstruction plate, while the quadrilateral surface was reduced and held in place using a spring plate. The postoperative and follow-up were uneventful. The fracture showed full union at three months, and at one year follow up; the functional outcome was excellent according to Harris hip score. Conclusion: Managing acetabular fracture in OI patients is challenging, and proper approach and fixation tools should be selected for better outcomes.
ISSN:2773-157X
2773-157X
DOI:10.1016/j.jorep.2023.100217