Conservative treatment of a pathological fracture in a 3-year-old boy with primary hyperoxaluria type I

摘要: Primary hyperoxaluria type I is a rare inherited disease that presents disturbed metabolism of glyoxylate. Consequently, patients suffer from hyperoxaluria, leading to renal failure and subsequent skeletal calcium oxalate deposition. Areas with high concentrations oxalate, so-called dense metaphyseal bands, are at risk for pathological fracturing. The primary treated by combined liver-kidney transplantation, although fracturing also occurs in the posttransplant period. In current case, we present 3-year-old boy fracture his right femur, 2 years after transplantation. We opted conservative regime, good healing. As there limited data literature regarding treatment fractures these patients, it important notify outcome I. J Pediatr Orthop B 22: 175-177 (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins. Journal Pediatric Orthopaedics 2013,