Three children with lower limb fractures and a mineralization defect: a novel bone fragility disorder?

Bone ◽  
2004 ◽  
Vol 35 (5) ◽  
pp. 1023-1028 ◽  
Author(s):  
Craig F.J. Munns ◽  
Frank Rauch ◽  
Rose Travers ◽  
Francis H. Glorieux
Keyword(s):  
Lower Limb ◽  
Bone Fragility ◽  
Lower Limb Fractures ◽  
Mineralization Defect ◽  
Limb Fractures

scholarly journals Osteogenesis Imperfecta Diagnosed from Mandibular and Lower Limb Fractures: A Case Report

2016 ◽  
Vol 9 (2) ◽  
pp. 141-144
Author(s):  
Yoshikazu Kobayashi ◽  
Koji Satoh ◽  
Hideki Mizutani
Keyword(s):  
Osteogenesis Imperfecta ◽  
Lower Limb ◽  
Bone Fragility ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Computed Tomography Images ◽  
Lower Limb Fractures ◽  
Type Ia ◽  
The Right ◽  
Limb Fractures

Osteogenesis imperfecta (OI) is a congenital disease characterized by bone fragility and low bone mass. Despite the variety of its manifestation and severity, facial fractures occur very infrequently. Here, we report a case of an infant diagnosed with OI after mandibular and lower limb fractures. A boy aged 1 year and 3 months was brought to his neighboring hospital with a complaint of facial injury. He was transferred to our hospital to undergo operation 3 days later. Computed tomography images revealed multiple mandibular fractures including complete fracture in the symphysis and dislocated condylar fracture on the right side. Open reduction and internal fixation with absorbable implants was performed 7 days after injury. He fractured his right lower limb 2 months later. He was diagnosed with OI type IA by an orthopedist. He will be administered bone-modifying agents if he suffers from frequent fractures.

Studying variables affecting the length of stay in patients with lower limb fractures by means of Machine Learning

2021 ◽  
Author(s):  
Ylenia Colella ◽  
Arianna Scala ◽  
Chiara De Lauri ◽  
Francesco Bruno ◽  
Giuseppe Cesarelli ◽  
...  
Keyword(s):  
Machine Learning ◽  
Length Of Stay ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Limb Fractures

Technical aspects and complications in the surgical treatment of poliomyelitis-affected lower limb fractures

2018 ◽  
Vol 62 (4) ◽  
pp. 257-266
Author(s):  
J. Mingo-Robinet ◽  
J.A. Alonso ◽  
M. Moreno-Barrero ◽  
L. González-García ◽  
V. Garcia-Virto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Limb ◽  
Technical Aspects ◽  
Lower Limb Fractures ◽  
Limb Fractures

External Fixation Of Lower Limb Fractures In Children

2000 ◽  
Vol 35 (6) ◽  
pp. 851
Author(s):  
Tae Woo Park ◽  
Sung Do Cho ◽  
Yong Sun Cho ◽  
Bum Soo Kim ◽  
Soon Woo Hong ◽  
...  
Keyword(s):  
External Fixation ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

A survey of thrombosis prophylaxis use in patients with lower limb fractures

2004 ◽  
Vol 92 (11) ◽  
pp. 1166-1167 ◽  
Author(s):  
Francesco Dentali ◽  
Davide Imberti ◽  
Walter Ageno
Keyword(s):  
Lower Limb ◽  
Thrombosis Prophylaxis ◽  
Lower Limb Fractures ◽  
Limb Fractures

scholarly journals Clinical and Radiological Outcomes After Surgical Treatment of Lower Limb Fractures in Patients With Spinal Cord Injury

2019 ◽  
Vol 10 (6) ◽  
pp. 715-719
Author(s):  
Lars Ung ◽  
Malte Ohlmeier ◽  
Birger Jettkant ◽  
Dennis Grasmücke ◽  
Mirko Aach ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
Lower Limb ◽  
Bone Consolidation ◽  
Lower Limb Fractures ◽  
Kaplan Meier ◽  
Cord Injury ◽  
Limb Fractures ◽  
Consolidation Time ◽  
Internal Group

Study Design: Retrospective observational study. Objectives: To analyze the clinical and radiological outcomes of lower limb fractures following surgical treatment in patients with chronic spinal cord injury (SCI). Methods: Between January 2003 and December 2015, 102 chronic SCI patients with a lower limb fracture were surgically treated at our hospital. A total of 58 patients met the inclusion criteria and were recruited for final analysis. Patients with 2-stage procedure or incomplete clinical records with lost-to-follow-up were excluded from the study. Patients were divided into 2 groups (group 1= internal fixation; group 2 = external fixation). Primary outcome measures were to identify the number of nonunions via Kaplan-Meier analysis and the time to bone consolidation. The diagnosis of a pseudarthrosis was made after more than 180 days of consolidation time. Considering the Kaplan-Meier analysis, pseudarthrosis was interpreted as treatment failure. Secondary outcome measure was to evaluate the complication rate with special focus on heterotopic ossification. Results: A total of 58 chronic SCI patients with closed bone fractures were included in this study. Fifty-two fractures (88%) were simple and 7 (12%) were complex (type C) fractures according to AO classification. The majority of patients (34 cases, 59%) developed femur fractures followed by 24 tibial fractures (41%). Seventeen patients received an external (29%) and 41 an internal fixation (71%). Bone consolidation was reported in 31 patients (53%) with a mean time interval of bone consolidation after 97 days (range from 45 to 160 days; SD = 30). The reported nonunion (pseudarthrosis) rate was 47%. Comparing the internal group (n = 15 patients) versus the external group (n = 14), we could not find any significant difference ( P = .939) concerning the bone consolidation time. The Kaplan-Meier analysis showed a 75% cumulative survivorship at 120 days (internal group) versus 111 days (external group). Most common postoperative complications occurred in the internal fixation group with Wound infections being predominantly observed (10%), followed by heterotopic ossifications (8%). Conclusions: Our results show that surgical treatment of lower limb fractures in chronic SCI patients is a challenging treatment with a high pseudarthrosis rate in both groups. The complication rate seems to be lower in the patients treated with external fixation. As a clinical recommendation, longer implants should be used for a stable osteosynthesis since SCI patients seem to have a higher load on the osteosynthesis material due to missing sensomotoric feedback.

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