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INTRODUCTION: Osteopetrosis is a rare hereditary disease that can be transmitted in an autosomal recessive or autosomal dominant. CASE REPORT: Here, we report a case of trochanteric fracture in an 18-year-old boy with an anatomical plate. At the last follow-up, 24 months after surgery, the fracture had healed well, and the patient was not restricted in his activities. DISCUSSION: Osteopetrosis is a rare bone disease that is mainly caused by osteoclast dysfunction. It results from a remodelling defect that leads to hypermineralization of the skeleton, resulting in bone fragility. Both surgical and nonsurgical management have advantages and disadvantages. Thus, open reduction and anatomic plate fixation remain effective management modalities for trochanteric fractures in osteopetrosis patients. CONCLUSION: For our patient and as described in the literature, the complication rate decreases as some principles are respected with better consolidation of the osteoporotic fracture.
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INTRODUCTION AND IMPORTANCE: Ankle fractures result from a wide variety of mechanisms the biomechanics of this articulation make any fracture altering the contact of the articulation surface lead to increased stresses and an inevitable evolution to tibiotalar arthritis. CASE PRESENTATION: We report the case of a 56-year-old patient admitted for open fracture dislocation of the ankle with a missing medial malleolus. He was treated by external fixation k-wiring and periosteal repair of the deltoid ligament. The one-year follow-up shows a good functional outcome with the patient's satisfaction. CLINICAL DISCUSSION: In ankle fractures, some authors report no need for fixation of the medial malleolus. Furthermore, the absence of the medial malleolus is not necessarily accompanied by instability of the ankle; however, it inevitably leads to ankle osteoarthritis. CONCLUSION: Our patient admitted for a bimalleolar fracture with missing medial malleolus, as described in the literature, had a favorable evolution with a functional score that was judged fair.
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INTRODUCTION: Tibial plateau fractures are recognized as one of the most challenging orthopedic injuries, especially when encountered in adults with unfused growth plates. The rarity of such cases makes them significant for study and discussion. IMPORTANCE: The presence of an open growth plate in adult patients can significantly influence both treatment decisions and outcomes. Understanding these unique cases is vital, as they offer insights into managing similar future cases and advancing orthopedic care. CASE PRESENTATION: A 23-year-old male, following a car accident, presented with a closed knee injury. Radiographic evaluations, including a hand X-ray to determine skeletal age, were employed. The findings confirmed a Salter and Harris type 4 fracture of the proximal tibia and indicated a skeletal age of approximately 15 years ±6 months. Treatment involved open reduction and internal fixation, specifically tailored to account for the patient's preserved growth plate. CLINICAL DISCUSSION: Managing such fractures necessitates a specialized approach, ensuring the growth plate is not jeopardized during treatment. The patient's age, combined with the presence of an unfused growth plate, added complexity to the treatment plan. The emphasis on accurate classification of the fracture, the selected surgical technique, and post-operative care played a pivotal role in the successful recovery. CONCLUSION: This case underscores the importance of a holistic, multidisciplinary approach in managing rare orthopedic presentations. Ensuring the preservation of growth potential while achieving functional recovery is paramount. Such cases enrich the orthopedic literature, guiding future treatments and interventions.
