$Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report$

Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report

Albers- Schonberg disease is an extremely rare genetically inherited disorder. Also known as Autosomal dominant Type II osteopetrosis, it is usually diagnosed incidentally. Due to the rarity of the disease, the condition is often missed and under- diagnosed. This is a case report of an eight- year...

Full description

Bibliographic Details
Main Authors:	Ang Poh Thean, Charles, Awang, Mohd Shukrimi, Mor Japar Khan, Ed Simor Khan, Sabir Husin Athar, Satriya, Hao, Faun
Format:	Article
Language:	English
Published:	Juniper Publishers 2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/71480/ http://irep.iium.edu.my/71480/ http://irep.iium.edu.my/71480/1/71480_Is%20Conservative%20Approach%20a%20Better.pdf

id	iium-71480
recordtype	eprints
spelling	iium-714802019-04-05T03:03:03Z http://irep.iium.edu.my/71480/ Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report Ang Poh Thean, Charles Awang, Mohd Shukrimi Mor Japar Khan, Ed Simor Khan Sabir Husin Athar, Satriya Hao, Faun RD701 Orthopedics Albers- Schonberg disease is an extremely rare genetically inherited disorder. Also known as Autosomal dominant Type II osteopetrosis, it is usually diagnosed incidentally. Due to the rarity of the disease, the condition is often missed and under- diagnosed. This is a case report of an eight- year old Malay girl that was diagnosed retrospectively after developing complications to the initial treatment given. Due to the underlying undiagnosed osteopetrosis rendering her prone for infections, a simple minimally invasive percutaneous K-wiring of her left tibia for a closed fracture was complicated with osteomyelitis causing significant morbidity. On retrospective review, her blood and radiographic investigations reveals low hemoglobin, raised alkaline phosphatase, rugger- jersey appearance of her spine radiograph, sclerosis over the base of skull and endo bones seen in her pelvic radiograph. She undergone wound debridement, and sequestrectomy a total of three times and was treated with intravenous antibiotics for six weeks and oral antibiotics for another six weeks. Despite the adequacy of surgical and antibiotic therapy, at one year follow up she still complains of on and off left proximal tibia pain significant enough to affect her daily activity. Therefore, it is important to make known the existence of this condition and double consider if surgical intervention is really needed or conservative approach will be a better option for primary treatment. Juniper Publishers 2019-01-18 Article PeerReviewed application/pdf en http://irep.iium.edu.my/71480/1/71480_Is%20Conservative%20Approach%20a%20Better.pdf Ang Poh Thean, Charles and Awang, Mohd Shukrimi and Mor Japar Khan, Ed Simor Khan and Sabir Husin Athar, Satriya and Hao, Faun (2019) Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report. Juniper Online Journal of Orthopedic & Orthoplastic Surgery, 2 (2). pp. 1-4. E-ISSN 2461-8266 https://juniperpublishers.com/jojoos/pdf/JOJOOS.MS.ID.555583.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Ang Poh Thean, Charles Awang, Mohd Shukrimi Mor Japar Khan, Ed Simor Khan Sabir Husin Athar, Satriya Hao, Faun Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
description	Albers- Schonberg disease is an extremely rare genetically inherited disorder. Also known as Autosomal dominant Type II osteopetrosis, it is usually diagnosed incidentally. Due to the rarity of the disease, the condition is often missed and under- diagnosed. This is a case report of an eight- year old Malay girl that was diagnosed retrospectively after developing complications to the initial treatment given. Due to the underlying undiagnosed osteopetrosis rendering her prone for infections, a simple minimally invasive percutaneous K-wiring of her left tibia for a closed fracture was complicated with osteomyelitis causing significant morbidity. On retrospective review, her blood and radiographic investigations reveals low hemoglobin, raised alkaline phosphatase, rugger- jersey appearance of her spine radiograph, sclerosis over the base of skull and endo bones seen in her pelvic radiograph. She undergone wound debridement, and sequestrectomy a total of three times and was treated with intravenous antibiotics for six weeks and oral antibiotics for another six weeks. Despite the adequacy of surgical and antibiotic therapy, at one year follow up she still complains of on and off left proximal tibia pain significant enough to affect her daily activity. Therefore, it is important to make known the existence of this condition and double consider if surgical intervention is really needed or conservative approach will be a better option for primary treatment.
format	Article
author	Ang Poh Thean, Charles Awang, Mohd Shukrimi Mor Japar Khan, Ed Simor Khan Sabir Husin Athar, Satriya Hao, Faun
author_facet	Ang Poh Thean, Charles Awang, Mohd Shukrimi Mor Japar Khan, Ed Simor Khan Sabir Husin Athar, Satriya Hao, Faun
author_sort	Ang Poh Thean, Charles
title	Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
title_short	Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
title_full	Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
title_fullStr	Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
title_full_unstemmed	Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report
title_sort	is conservative approach a better option for primary treatment of closed tibia fractures in albers- schonberg disease? a case report
publisher	Juniper Publishers
publishDate	2019
url	http://irep.iium.edu.my/71480/ http://irep.iium.edu.my/71480/ http://irep.iium.edu.my/71480/1/71480_Is%20Conservative%20Approach%20a%20Better.pdf
first_indexed	2023-09-18T21:41:21Z
last_indexed	2023-09-18T21:41:21Z
_version_	1777413161526231040

Is conservative approach a better option for primary treatment of closed tibia fractures in Albers- Schonberg disease? a case report

Similar Items