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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2018, Number 2

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Rev Mex Ortop Ped 2018; 20 (2)

Orthopaedic treatment of hypophosphatemic rickets in a 12-year-old girl: report about a case

Olalde HM, López HA, Guzmán FA, Posada MK, Navarro EJJ

Language: Spanish
References: 12
Page: 89-92
PDF size: 224.30 Kb.


ABSTRACT

Hypophosphatemic rickets is bone mineralization defect, caused by metabolic calcium and phosphates alterations, being characteristic hyperphosphaturia and hypercalciuria; causes bone deformities, genu varum it the most important, which causes alterations that decrease the patient’s life quality. We present the case of a female patient treated at the Morelia’s Children Hospital diagnosed with X-linked hypophosphatemic rickets. She attended the Orthopedics Service in September 2014, at the age of 12 years old, suffering walking difficulty since 18 months old, in addition to progressive lower limbs deformity, having previously been treated without improvement; physical examination shows a low stature, and varus deformity in the knees almost 50o, as well as hypophosphatemia and phosphaturia. The treatment consisted of calcitrol and phosphates, fisiodesis in both knees at tibial level using blount staples, this treatment was unsatisfactory, reason why valguizing osteotomies were performed in both tibias and fixation of the sites with Steinmann nails were performed; the patient received orthopedic rehabilitation with mechanical prosthetic knees; It’s follow-up continues until today.


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