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...
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Published in | Journal of Orthopaedic Reports Vol. 2; no. 4; p. 100217 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Elsevier B.V
01.12.2023
Elsevier |
Subjects | |
Online Access | Get full text |
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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. |
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ISSN: | 2773-157X 2773-157X |
DOI: | 10.1016/j.jorep.2023.100217 |