Fracture management in osteopetrosis : an intriguing enigma A guide for surgeons


Published online: Sep 27 2017

Hitesh Dawar, Vinayak Mugalakhod, Jahangir Wani, Deepak Raina, Surbhit Rastogi, Sayim Wani

From the Indian Spinal Injuries Centre, New Delhi, India

Abstract

Osteopetrosis is a disorder of diminished bone resorption with hard and brittle bones resulting in high rates of perioperative complications during an operative intervention. We present a series of 4 Subtrochanteric fractures treated surgically in 3 patients of Osteopetrosis in a tertiary level Orthopaedic centre over the last 3 years with an aim to highlight our preparation and technique, especially as a guide to other surgeons, to minimize the complication rates and optimise the results. The patients had a mean Harris Hip Score of 85, at a mean follow up of 21.5 months ; the fractures united and all patients successfully returned to their normal activities of daily living.