Yang H, Shao GX, Du ZW, Li ZW. Treatment for subtrochanteric fracture and subsequent nonunion in an adult patient with osteopetrosis: A case report and review of the literature. World J Clin Cases 2021; 9(35): 11007-11015 [PMID: 35047611 DOI: 10.12998/wjcc.v9.i35.11007]
Corresponding Author of This Article
Zheng-Wei Li, MD, PhD, Associate Professor, Doctor, Reader (Associate Professor), Surgeon, Departments of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang Street, Nanguan District, Changchun 130041, Jilin Province, China. lizhengwei@jlu.edu.cn
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 16, 2021; 9(35): 11007-11015 Published online Dec 16, 2021. doi: 10.12998/wjcc.v9.i35.11007
Treatment for subtrochanteric fracture and subsequent nonunion in an adult patient with osteopetrosis: A case report and review of the literature
Hao Yang, Guo-Xi Shao, Zhen-Wu Du, Zheng-Wei Li
Hao Yang, Guo-Xi Shao, Zhen-Wu Du, Department of Orthopedics, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Zheng-Wei Li, Departments of Orthopedics, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Author contributions: Yang H and Shao GX conducted the literature review; Yang H and Shao GX contributed to the drafting of the manuscript; Du ZW collected the medical records of this case; Li ZW was the chief surgeon of the patient, Li ZW was responsible for the revision of important contents of the manuscript; and all authors have read and approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author states that there is no conflict of interest in the publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zheng-Wei Li, MD, PhD, Associate Professor, Doctor, Reader (Associate Professor), Surgeon, Departments of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang Street, Nanguan District, Changchun 130041, Jilin Province, China. lizhengwei@jlu.edu.cn
Received: May 9, 2021 Peer-review started: May 9, 2021 First decision: June 24, 2021 Revised: August 4, 2021 Accepted: October 25, 2021 Article in press: October 25, 2021 Published online: December 16, 2021 Processing time: 214 Days and 19.4 Hours
Core Tip
Core Tip: Osteopetrosis is a rare clinical disease which heightens the risk of fractures, but it is significantly difficult to perform surgical treatments in patients with osteopetrosis. Numerous risks such as drill bit breakage and iatrogenic fracture exist during the operation, which can lead to the failure of treatment. We present herein, a case of a subtrochanteric fracture in an adult patient with osteopetrosis that was fixed using a femoral locking compression plate. The postoperative consolidation was delayed, and the patient was subsequently treated with platelet-rich plasma (PRP) combined with radial extracorporeal shock wave therapy (rESWT). This case highlights the ultimate importance of preoperative preparation to avoid the potential risks of surgical failure. Furthermore, fractures in a patient with osteopetrosis have a high risk of delayed union and nonunion, which might be cured by PRP combined with rESWT.
