YU.A. BOGOLYUBSKIY¹, A.M. FAYN¹, A.YU. VAZA¹, S.F. GNETETSKIY¹, R.S. TITOV¹, V.B. BONDAREV¹, A.YU. SERGEEV¹, K.I. SKURATOVSKAYA¹

 ¹Scientific-Research Institute for Emergency Medical Care named after N. V. Sklifosofskiy, Moscow

Contact details:

Bogolyubskiy Yu.A. — PhD (medicine), researcher of the Department of Emergency Traumatology

Address: 3 Bolshaya Sukharevskaya square, Moscow, 129090, tel.: +7-916-638-3092, e-mail: bo_y_an@mail.ru

Osteopoikylosis is a rare osteochondropathy that does not have specific clinical manifestations. The literature does not sufficiently cover the issues of surgical aspects of the treatment of patients with bone fractures in this pathology.

A clinical case of a femoral neck fracture in a 30-year-old patient with a diagnosis of osteopoikylosis established in childhood is considered. In addition to the fracture, the X-ray examination revealed characteristic changes in the proximal metaepiphyses of the femurs and pelvic bones. The patient underwent osteosynthesis of the femoral neck with cannulated screws. During the operation, a number of features associated with changes in bone density were noted. There were no peculiarities of the postoperative period.

Osteosynthesis of the femoral neck in a patient with osteopoikylosis is technically possible. The presence of osteosclerosis foci requires more careful monitoring of the trajectory of the guide spokes.

Key words: osteopoikylosis, femoral neck fracture, osteosynthesis with cannulated screws.

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