Biomaterial Database

[Femoral fractures in osteodystrophy deformans (Paget's disease). Treatment results]. 1990

E Sim, and A Meznik

Unfallkrankenhaus Wien-Meidling.

Between 1958 and 1986 21 fractures of the femur in Osteodystrophia deformans (Paget's disease) were treated at the accident hospital Meidling; of these 13 patients were female and 8 of male. The average age was 73.4 years. In two cases the basic illness was known, in 19 cases the fracture was the first manifestation of the illness. In 7 cases a polyostotic manifestation was evident. The fractures were localized as follows: 7 in the proximal, 7 in the middle, 1 in the distal third of the shaft, 5 subtrochanteric, 1 supracondylar. Apart from one subtrochanteric torsion fracture, all were flexure fractures without splinters. 19 fractures were stabilized by an operation: 17 by intramedullary nailing (with cerclage), 1 steep plate, 1 Ender nail. One case was treated by an extension, whereas in one case no operation was performed. The following complications were observed: one fracture of the steep plate, one delayed healing of the fracture after intramedullary nailing. No infections could be observed. In general, healing of the fracture in Osteodystrophia deformans does not seem to be delayed. The different possibilities of intramedullary nailing of the femur - possibly together with osteotomies to eliminate curvature - can be recommended for fractures in Osteodystrophia deformans.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D010001	Osteitis Deformans	A disease marked by repeated episodes of increased bone resorption followed by excessive attempts at repair, resulting in weakened, deformed bones of increased mass. The resultant architecture of the bone assumes a mosaic pattern in which the fibers take on a haphazard pattern instead of the normal parallel symmetry.	Paget's Disease of Bone,Osseous Paget's Disease,Paget Disease of Bone,Paget Disease, Bone,Pagets Disease, Bone
D011859	Radiography	Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film).	Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D001860	Bone Plates	Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)	Bone Plate,Plate, Bone,Plates, Bone
D001863	Bone Screws	Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.	Bone Screw,Screw, Bone,Screws, Bone
D005260	Female		Females
D005264	Femoral Fractures	Fractures of the femur.	Femoral Fracture,Fracture, Femoral,Fractures, Femoral
D005598	Fractures, Spontaneous	Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)	Fractures, Pathological,Fracture, Pathologic,Fracture, Pathological,Fractures, Pathologic,Pathological Fracture,Pathological Fractures,Fracture, Spontaneous,Pathologic Fracture,Pathologic Fractures,Spontaneous Fracture,Spontaneous Fractures
D006622	Hip Prosthesis	Replacement for a hip joint.	Femoral Head Prosthesis,Femoral Head Prostheses,Hip Prostheses,Prostheses, Femoral Head,Prostheses, Hip,Prosthesis, Femoral Head,Prosthesis, Hip