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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 670-672.
doi: 10.1302/0301-620X.88B4.17335  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Fractures of the acetabulum in osteogenesis imperfecta

S. Darmanis, MSc, Clinical Fellow in Pelvic and Acetabular Surgery1; and M. Bircher, FRCS E, FRCS Ed, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics, St George’s University Hospital, Level 5, St James Wing, Blackshaw Road, London SW17 0QT, UK.

Correspondence should be sent to Mr S. Darmanis; e-mail: darmanis{at}otenet.gr

We describe two patients aged 16 and 25 years with osteogenesis imperfecta who sustained displaced fractures of the acetabulum following minor trauma. The femoral heads were deformed by impact against the acetabular margin and both cases underwent surgical reconstruction. The quality of the bone and soft tissues made the operations challenging. There were potential complications specific to osteogenesis imperfecta, including bleeding, the creation of secondary fracture lines and shredding of the soft-tissue. The cases provide useful guidelines for addressing these difficulties.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General