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Open Access Case report

Functional bracing for delayed union of a femur fracture associated with Paget's disease of the bone in an Asian patient: a case report

Iori Takigami1*, Akira Ohara1, Kazu Matsumoto1, Masashi Fukuta2 and Katsuji Shimizu1

Author Affiliations

1 Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan

2 Department of Orthopaedic Surgery, Matsunami General Hospital, Gifu, Japan

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Journal of Orthopaedic Surgery and Research 2010, 5:33  doi:10.1186/1749-799X-5-33

Published: 12 May 2010

Abstract

Paget's disease of the bone is a common metabolic bone disease in most European countries, Australia, New Zealand, and North America. Conversely, this disease is rare in Scandinavia, Asia, and Africa. In Japan, it is extremely rare, with a prevalence of 0.15/100000. Paget's disease is a localized disorder of bone remodeling. Excessive bone resorption and abnormal bone formation result in biomechanically weakened bone and predispose patients to fracture. Delayed union and non-union of fractures have been reported in patients with Paget's disease. Therefore, open reduction and internal fixation of fractures has been recommended to prevent such complications. Here we report an unusual case of a 63-year-old Asian woman with delayed union of a femur fracture secondary to Paget's disease, which was treated successfully by functional bracing.