Open AccessFemoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique
Author(s) -
Mark T. Gorsche,
Michelle S. Caird,
Frances A. Farley,
Ying Li,
Matthew Abbott
Publication year - 2017
Publication title -
case studies in surgery
Language(s) - English
Resource type - Journals
eISSN - 2377-732X
pISSN - 2377-7311
DOI - 10.5430/css.v3n3p14
Subject(s) - medicine , avascular necrosis , arthrogram , osteogenesis imperfecta , coxa vara , surgery , deformity , femoral neck , femur , radiography , femoral head , osteoporosis , anatomy , endocrinology
Case: We conducted a retrospective review of three cases of femoral neck fractures treated operatively in patients with osteogenesis imperfecta (OI). All of our patients had acetabular protrusio as well as coxa vara deformity. All patients successfully underwent cannulated screw fixation without avascular necrosis (AVN). One patient required a sub-adductor hip arthrogram during a revision procedure to assist with visualization of the proximal femur which resulted in improved screw purchase.Conclusions: We report on three cases of femoral neck fractures in OI patients and a previously undescribed technique; using a hip arthrogram to assist in fluoroscopic evaluation of the proximal femur in these osteopenic patients.