Subtrochanteric femoral fracture in a 26 year old woman affected by beta-thalassemia major due to minor trauma: analysis of bone modification causing the complication.
Beta-Thalassemia Major (TM), firstly described by Cooley, is and inherited blood disorder that leads to anaemia due to an imbalanced globin chain synthesis effecting erythroid maturation and red cells survival and requests regular life-long blood transfusions and iron-chelating therapy. Among all the complications and organ diseases, osteopenia and osteoporosis, as progressive diseases are getting important cause of morbidity in a population whose longevity is increasing. The authors describe a case of a 26-year-old female with Beta-Thalassemia Major affected by a subtrochanteric fracture of the right femur on minor trauma. Cardiovascular, endocrinologic and thrombotic pattern leading to bone modifications are reported and Literature reviewed. Fracture was surgically treated with anterograde reconstructive intramedullary locked nail (AFN, Synthes) with 2 distal screws inserted in a static mode.
Department of Orthopaedic Science and Traumatology, Catholic University Sacro Cuore, Rome, Italy. rosariadimatteo@libero.it
R
R
Di Matteo
F
F
Liuzza
F
F
Pezzillo
L
L
Gerardino
G
G
Maccauro
D000328:Adult; D015415:Biomarkers / Q000097:blood; D001851:Bone Diseases, Metabolic / Q000097:blood / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000378:metabolism / Q000473:pathology; D005269:Femur / Q000000981:diagnostic imaging / Q000293:injuries* / Q000378:metabolism* / Q000473:pathology; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation; D006728:Hormones / Q000097:blood; D006801:Humans; D011859:Radiography; D017086:beta-Thalassemia / Q000097:blood / Q000150:complications* / Q000378:metabolism
D015415:Biomarkers; D006728:Hormones