Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: " A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report A new modality of treatment for non-united fracture of the humerus in a patient with osteopetrosis a case report Imran Rafiq 1 2 Amit Kapoor1 David JC Burton1 and John F Haines1 Address 1Upper Limb Unit Wrightington Hospital Hall Lane Appley Bridge Wigan Lancashire WN6 9EP UK and 2197 Berberis House Highfield Road Feltham TW13 4GS UK Email Imran Rafiq - imranrafiq@doctors.net.uk Amit Kapoor - dramitkapoor@doctors.net.uk David JC Burton - davburton@glos.nhs.uk John F Haines - JFHaines@uhls.org.uk Corresponding author Published 13 January 2009 Received 6 February 2008 Journal of Medical Case Reports 2009 3 15 doi l0.ll86 l752-l947-3-l5 Accepted 13 January 2009 This article is available from http www.jmedicalcasereports.cOm content 3 l 15 2009 Rafiq et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Osteopetrosis introduces technical limitations to the traditional treatment of fracture management that may be minimised with specific pre-operative planning. Extreme care and caution are required when drilling reaming or inserting implants in patients with osteopetrosis. Caution must be exercised throughout the postoperative course when these patients are at greatest risk for device failure or further injury. Case presentation We present our experience of treating such a fracture where a patient presented with a non-united fracture of the humerus. The bone was already osteoporotic. We successfully used a new technique which has not been described in the literature before. This included the use of a high-speed drill to prepare the bone for screw fixation. Bone healing was augmented with bone morphogenic protein. Conclusion This technique