Is Conservative Approach a Better Option for Primary Treatment of Closed Tibia Fractures in Albers- Schonberg Disease a Case Report

Charles Ang Poh Thean, Zamzuri Bin Zakaria Mohamad, Rajandra Kumar Karupiah, Mohd Shukrimi Awang and Faun Hao Yan
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Charles Ang Poh Thean: Medical officer, International Islamic University, Malaysia
Zamzuri Bin Zakaria Mohamad: Department of Orthopaedic, International Islamic University, Malaysia
Rajandra Kumar Karupiah: Department of Orthopaedic, International Islamic University, Malaysia
Mohd Shukrimi Awang: Department of Orthopaedic, International Islamic University, Malaysia
Faun Hao Yan: Orthopaedic surgeon, International Islamic University Malaysia

Juniper Online Journal of Orthopedic & Orthoplastic Surgery, 2019, vol. 2, issue 2, 35-38

Abstract: 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.

Keywords: juniper publishers; Journal of Orthopedic; Orthoplastic Surgery; Online Journal of Orthopedic & Orthoplastic Surgery; Journal of Orthoplastic Surgery; journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; open access orthopedics journal (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:adp:jojoos:v:2:y:2019:i:2:p:35-38

DOI: 10.19080/JOJOOS.2019.02.555583

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