A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore.

Yang, Jeong Yeol; Cheon, Ji Seon

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(1):91-94.
Published online January 1, 2008.

A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore.

Jeong Yeol Yang, Ji Seon Cheon

Department of Plastic and Reconstructive Surgery, College of Medicine, Chosun University, Gwangju, Korea. cheonjs@freechal.com

Abstract

PURPOSE
Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. METHODS: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap.
RESULTS
The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur.
CONCLUSION
We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.

Keywords: Femur neck fracture; Atypical bone growth; Pressure sore