Malunited Right and Ununited Left Fracture Neck Femur in Autism with Seizures Treated with Valgus Osteotomy: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 Jan 2024
Historique:
medline: 11 1 2024
pubmed: 11 1 2024
entrez: 11 1 2024
Statut: epublish

Résumé

An 18-year-old autistic boy with seizure disorder had a 4-month-old hip injury with a similar right hip injury 6 months earlier. X-rays revealed an ununited fracture neck femur on the left and a malunited fracture neck femur on the right hip. Magnetic resonance imaging indicated preserved head vascularity. Valgus osteotomy and double-angle plate fixation of both hips were performed at an interval of 2 months. Delayed presentation bilateral neck fractures are rare. X-rays showed healed fractures with no avascular necrosis in both hips at 2-year 6-month follow-up. Valgus osteotomy is ideal and relevant for osteosynthesis in selected ununited femur neck fractures.

Identifiants

pubmed: 38207082
doi: 10.2106/JBJS.CC.23.00532
pii: 01709767-202403000-00011
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C281).

Références

Varghese VD, Boopalan PR, Titus VTK, Oommen AT, Jepegnanam TS. Indices affecting outcome of neglected femoral neck fractures after valgus intertrochanteric osteotomy. J Orthop Trauma. 2014;28(7):410-6.
Varghese VD, Livingston A, Boopalan PR, Jepegnanam TS. Valgus osteotomy for nonunion and neglected neck of femur fractures. World J Orthop. 2016;7(5):301-7.
Zhu Y, Hu J, Han W, Lu J, Zeng Y. Simultaneous bilateral femoral neck fractures in a dialysis-dependent patient: case report and literature review. BMC Musculoskelet Disord. 2020;21(1):242.
Arisumi S, Mawatari T, Ikemura S, Matsui G, Iguchi T, Mitsuyasu H. Spontaneous bilateral femoral neck fractures in a young male adult: a case report and literature review. BMC Musculoskelet Disord. 2019;20(1):449.
Alkaramani E, Salameh M, Adam M, George B, Alser Y, Ahmed G. Simultaneous bilateral neck of femur fracture in a young adult with underlying metabolic disturbances. Case Rep Orthop. 2020;2020:e8972542.
Vijayvargiya M, Shetty V, Makwana K, Agarwal N. Bilateral simultaneous neck femur fracture following domestic fall in an elderly patient: a rare case report. Rev Bras Ortop. 2016;52(3):363-5.
Guo Y, Lin Z, Huang Y, Yu L. Effects of valproate, lamotrigine, and levetiracetam monotherapy on bone health in newly diagnosed adult patients with epilepsy. Epilepsy Behav. 2020;113:107489.
Arora E, Singh H, Gupta YK. Impact of antiepileptic drugs on bone health: need for monitoring, treatment, and prevention strategies. J Family Med Prim Care. 2016;5(2):248-53.
Pack AM. The association between antiepileptic drugs and bone disease. Epilepsy Curr. 2003;3(3):91-5.
Pack A. Levetiracetam treatment does not result in broken bones. Epilepsy Curr. 2013;13(2):83-4.
Couch CG, Menendez ME, Barnes CL. Perioperative risk in patients with epilepsy undergoing total joint arthroplasty. J Arthroplasty. 2017;32(2):537-40.
Cole MW, Waters TL, Ross BJ, Collins LK, Williams GH, Sherman WF. The impact of epilepsy on complication rates after total joint arthroplasty: a propensity score-matched cohort study. J Arthroplasty. 2023;38(2):209-14.e1.
Toro G, Moretti A, Paoletta M, Cicco AD, Braile A, Panni AS. Neglected femoral neck fractures in cerebral palsy: a narrative review. EFORT Open Rev. 2020;5(1):58-64.
Banaszek D, Spence D, O'Brien P, Lefaivre K. Principles of valgus intertrochanteric osteotomy (VITO) after femoral neck nonunion. Adv Orthop. 2018;2018:5214273.
Prakash J, Keshari V, Chopra RK. Experience of valgus osteotomy for neglected and failed osteosynthesis in fractures neck of femur. Int Orthop. 2020;44(4):705-13.
Gavaskar AS, Srinivasan P, Jeyakumar B, Raj RV. Valgus intertrochanteric osteotomy for femur neck pseudoarthrosis: a simple solution to a complex problem that has stood the test of time. Int Orthop. 2020;44(4):635-43.
Medda S, Jinnah AH, Marquez-Lara A, Araiza ET, Hasty EK, Halvorson JJ, Pilson HT. Valgus intertrochanteric osteotomy for femoral neck nonunion. J Orthop Trauma. 2019;33(suppl 1):S26-7.

Auteurs

Classifications MeSH