Leg deformity due to osteomalacia

The patient was admitted to Xuyen A General Hospital with severe pain in the right thigh and groin area due to incomplete bone formation (glass bone disease), and difficulty in movement. More than 30 years ago, his left leg had to undergo orthopedic surgery many times because of this disease. His right leg was also continuously broken and deformed, but he did not receive treatment because of economic difficulties.

This time, the doctor diagnosed the patient with a closed femoral neck fracture, a complex fracture, multiple layers of the right femur, incomplete bone formation, severe pneumonia, hypertension, diabetes, and hypothyroidism. The patient is indicated for surgery to nail the femur, bolt the femoral neck, but must stabilize the underlying disease before surgery.

Doctor Phan Van Tiep, an expert in the field of Trauma – Orthopedics, surgery for patients. The surgical team encountered many difficulties because many of the bones had been broken for a long time, the bones had an imperfect structure, so the bone walls were thin, and the nailing was more complicated than usual. On May 23, postoperative follow-up showed that the patient’s condition was stable and recovered well.

According to Doctor Tiep, vitreous bone is a rare disease, the incidence is 1 in 20,000 cases and is caused by genetics or genetic variation. The disease has about 19 types but is grouped into 4 levels. The most severe form is that the patient can die immediately after birth or die in the womb. Milder forms after birth often have fractures due to concussion or abnormal movement.

The disease cannot be cured. Therefore, patients need to go to rheumatology facilities for early diagnosis and appropriate treatment to prevent and limit fractures. If properly treated in terms of orthopedics, psychology, and aids, the patient can walk and stand.

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