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Case Report
Surgical hip dislocation and retinacular flap for pediatric femoral neck fracture in osteogenesis imperfecta
1 MD, Orthopedic Surgeon; Orthopedics Department, Centro Hospitalar Universitário Lisboa Norte EPE, Lisbon, Portugal
2 MD, Orthopedic Resident; Orthopedics Department, Centro Hospitalar Universitário Lisboa Norte EPE, Lisbon, Portugal
3 MD, MSc, FEBOT, Orthopedic Surgeon; Orthopedics Department, Centro Hospitalar Universitário Lisboa Norte EPE, Lisbon, Portugal
4 MD, Paediatric Orthopedic Surgeon; Orthopedics Department, Centro Hospitalar Universitário Lisboa Norte EPE, Lisbon, Portugal
Address correspondence to:
Joaquim Soares do Brito
Centro Hospitalar Lisboa Norte – Hospital de Santa Maria; Avenida Professor Egas Moniz, 1649-035 Lisbon,
Portugal
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Article ID: 100026Z14AS2021
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How to cite this article
Spranger A, Chambel A, do Brito JS, Almeida P, Lopes G. Surgical hip dislocation and retinacular flap for pediatric femoral neck fracture in osteogenesis imperfecta. J Case Rep Images Orthop Rheum 2021;5:100026Z14AS2021.ABSTRACT
Introduction: Osteogenesis imperfecta is a genetic disorder of bone formation, characterized by increased bone fragility and low bone mass. Treatment is based on a multidisciplinary approach with medical therapy and occasional orthopedic surgery.
Case Report: We report on an 11-year-old child with osteogenesis imperfecta, which presented a transcervical femoral neck pseudarthrosis after minor trauma. This condition was successfully managed with open reduction, autologous tricortical iliac bone graft and internal fixation using a safe hip surgical dislocation with retinacular flap.
Conclusion: There is very limited information concerning the treatment of a femoral neck fracture in children with osteogenesis imperfecta. The authors report on a successful case treated with an open reduction and internal fixation using a hip surgical dislocation and retinacular flap, showing how this technique could be applied to such difficult and unusual cases as this one.
Keywords: Hip surgical dislocation, Osteogenesis imperfecta, Pediatric femoral neck pseudarthrosis, Retinacular flap
SUPPORTING INFORMATION
Author Contributions
André Spranger - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
André Chambel - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Joaquim Soares do Brito - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paulo Almeida - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Graça Lopes - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 André Spranger et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
