Characteristics of femoral neck fractures in osteogenesis imperfecta: Series of four-teen consecutive hips in twelve patients

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dc.authoridsozbilen, murat celal/0000-0001-7128-6227
dc.authoridKaya, Huseyin/0000-0003-1415-1654
dc.authoridGunay, Huseyin/0000-0003-1122-4459
dc.authoridKurt, Cengizhan/0000-0001-6395-5443
dc.authoridCagiran, Zeynep/0000-0001-9266-6771
dc.authoridVahabi, Arman/0000-0002-8937-6658
dc.contributor.authorVahabi, Arman
dc.contributor.authorKaya, Huseyin
dc.contributor.authorCagiran, Zeynep
dc.contributor.authorSozbilen, Murat Celal
dc.contributor.authorKurt, Cengizhan
dc.contributor.authorGunay, Huseyin
dc.date.accessioned2025-03-20T09:51:09Z
dc.date.available2025-03-20T09:51:09Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractIntroduction: While long bone fractures are commonly seen in individuals with Osteogenesis Imperfecta (OI), femoral neck fractures (FNF) are exceedingly rare. There is a lack of comprehensive data regarding the etiology of FNFs, their characteristics, and the treatment protocols. Our aim was to determine the characteristics of femoral neck fractures in children with OI. Materials and methods: This study was conducted as retrospective series covering period of January 2011December 2022. Total of 14 femoral neck fractures in 12 patients were included into final analysis. Age, gender, fracture location, ambulation level, injury mechanism, Sillence type, pre-fracture collo-diaphyseal angle, presence of previous implants and applied treatments were noted. Results: The mean age was 9.3 (range: 3 -16), 8 out of 12 patients were males. Sillence type 3 OI was most common (50 %) type. Among 12 patients, 2 (16.6 %) were restricted ambulatory while 5 (41.6 %) were nonambulatory. Seven patients had prior femoral implants. Six fractures were managed non-operatively, while others underwent surgery, with cannulated screws (42.8 %) or plate osteosynthesis (7.1 %). All eight cases (100 %) with minor trauma or unknown origin were Sillence type 3 -4, displaying varus deformity. FNFs that occured in mobile patients required higher-energy traumas. Conclusion: Femoral neck fractures in OI showed differing trauma mechanisms in ambulatory vs. non-ambulatory patients. Non-surgical treatment may be considered with in patients with high-risk anesthesia concerns, requiring higher level clinical studies.
dc.identifier.doi10.1016/j.injury.2024.111390
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue4
dc.identifier.pmid38307777
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.injury.2024.111390
dc.identifier.urihttps://hdl.handle.net/20.500.14034/2449
dc.identifier.volume55
dc.identifier.wosWOS:001220668100001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofInjury-International Journal of The Care of The Injured
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250319
dc.subjectCollum femoris
dc.subjectMetabolic bone disease
dc.subjectPediatric orthopaedics
dc.titleCharacteristics of femoral neck fractures in osteogenesis imperfecta: Series of four-teen consecutive hips in twelve patients
dc.typeArticle

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