A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore

대전자부 압박궤양을 가지고 있는 하지마비 환자에서 대퇴골 골절부위에 발생한 비정상적 골증식의 치험례

  • Yang, Jeong Yeol (Department of Plastic and Reconstructive Surgery, College of Medicine, Chosun University) ;
  • Cheon, Ji Seon (Department of Plastic and Reconstructive Surgery, College of Medicine, Chosun University)
  • 양정열 (조선대학교 의과대학 성형외과학교실) ;
  • 천지선 (조선대학교 의과대학 성형외과학교실)
  • Received : 2007.11.26
  • Published : 2008.01.10

Abstract

Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

Keywords

References

  1. Jang H: Fracture of femur neck with heterotopic ossification in spinal cord injured patient. J Korean Acad Rehabil Med 21: 599, 1997
  2. Youn HS, Jang HJ, Hong IP, Kim JH: Myositis ossificans associated with pressure sore; a case report. J Korean Soc Plast Reconstr Surg 25: 1160, 1998
  3. Venier LH, Ditunno JF Jr: Heterotopic ossification in paraplegic patient. Arch Phys Med Rehabil 52: 475, 1971
  4. Wharton GW: Heterotopic ossification. Clin Orthop Relat Res 112: 142, 1975
  5. Garland DE: Clinical observations on fractures and heterotopic ossification in the spinal cord and traumatic brain injured populations. Clin Orthop Relat Res 233: 86, 1998
  6. Choi YS, Yoo G, Wee SS: Heterotopic ossification in pressure sore; a case report. J Korean Soc Plast Reconstr Surg 26: 313, 1999
  7. McMaster WC, Stauffer ES: The management of long bone fracture in the spinal cord injured patient. Clin Orthop Relat Res 112: 44, 1975