{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:14:18Z","timestamp":1740147258998,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:00:00Z","timestamp":1715385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T00:00:00Z","timestamp":1715385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>People with achondroplasia exhibit distinct physical characteristics, but their cognitive abilities remain within the normal range. The challenges encountered during\u00a0surgical procedures\u00a0and perioperative care for\u00a0achondroplastic individuals, are underrepresented in the existing literature.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>In this report, the\u00a0management of a 26-year-old North-African achondroplastic\u00a0male\u00a0is highlighted.\u00a0The patient suffered a complete intra-articular distal femur fracture (AO\/OTA 33-C1) and an ipsilateral patella fracture (AO\/OTA 34-C1). The patient\u2019s unusual anatomical variations and the lack of suitable orthopedic implants posed significant surgical challenges, particularly in the context of a resource-limited developing country. Facial and spinal deformities, which are common in patients with achondroplasia, further complicated the anesthetic approach.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The\u00a0limited information\u00a0on operative management of fractures in\u00a0achondroplastic patients necessitated independent decision-making and\u00a0diverging from the convenient approach where clear guidance is available in the literature.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04566-4","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T01:45:13Z","timestamp":1715391913000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of complete intra-articular distal femur and patellar fractures in an achondroplastic young adult; small is challenging\u2019 revisited: a case-report"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4485-1950","authenticated-orcid":false,"given":"Hussein Samir","family":"Elrukby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid Mohamed Abd Elhafiz","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elamin Mohamed Elamin","family":"Hamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,11]]},"reference":[{"issue":"1","key":"4566_CR1","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1186\/s13023-021-01971-6","volume":"16","author":"V Cormier-Daire","year":"2021","unstructured":"Cormier-Daire V, AlSayed M, Ben-Omran T, de Sousa SB, Boero S, Fredwall SO, et al. The first European consensus on principles of management for achondroplasia. Orphanet J Rare Dis. 2021;16(1):333.","journal-title":"Orphanet J Rare Dis"},{"key":"4566_CR2","doi-asserted-by":"publisher","first-page":"08793","DOI":"10.1136\/bcr-2013-008793","volume":"2013","author":"CG Murphy","year":"2013","unstructured":"Murphy CG, Chrea B, Molloy AP, Nicholson P. Small is challenging; distal femur fracture management in an elderly lady with achondroplastic dwarfism. BMJ Case Rep. 2013;2013:08793.","journal-title":"BMJ Case Rep"},{"key":"4566_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13023-018-0972-6","volume":"14","author":"RM Pauli","year":"2019","unstructured":"Pauli RM. Achondroplasia: a comprehensive clinical review. Orphanet J Rare Dis. 2019;14:1.","journal-title":"Orphanet J Rare Dis"},{"key":"4566_CR4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1007\/3-540-27708-0_2","volume-title":"The rationale of operative fracture care","author":"J Schatzker","year":"2005","unstructured":"Schatzker J. Intra-articular fractures. In: Schatzker J, Tile M, editors. The rationale of operative fracture care. Berlin: Springer; 2005. p. 33\u201343. https:\/\/doi.org\/10.1007\/3-540-27708-0_2."},{"key":"4566_CR5","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1007\/978-3-319-97602-0_3","volume-title":"Intraarticular fractures: minimally invasive surgery, arthroscopy","author":"S Mittal","year":"2019","unstructured":"Mittal S, Mittal R. Intra-articular fractures: principles of fixation. In: Doral MN, Karlsson J, Nyland J, Benedetto KP, editors. Intraarticular fractures: minimally invasive surgery, arthroscopy. Cham: Springer International Publishing; 2019. p. 15\u201323. https:\/\/doi.org\/10.1007\/978-3-319-97602-0_3."},{"issue":"4","key":"4566_CR6","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2011.e120","volume":"1","author":"RG Bakhshi","year":"2011","unstructured":"Bakhshi RG, Jagtap SR. Combined spinal epidural anesthesia in achondroplastic dwarf for femur surgery. Clin Pract. 2011;1(4): e120.","journal-title":"Clin Pract"},{"issue":"2","key":"4566_CR7","doi-asserted-by":"publisher","first-page":"130","DOI":"10.2174\/157488611795684668","volume":"6","author":"H Mikhael","year":"2011","unstructured":"Mikhael H, Vadivelu N, Braveman F. Safety of spinal anesthesia in a patient with achondroplasia for cesarean section. Curr Drug Saf. 2011;6(2):130\u20131.","journal-title":"Curr Drug Saf"},{"key":"4566_CR8","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010606.pub3","author":"HA Claireauxa","year":"2022","unstructured":"Claireauxa HA, Searlea HK, Parsons NR, Griffin XL. Interventions for treating fractures of the distal femur in adults. Cochrane Database of Syst Rev. 2022. https:\/\/doi.org\/10.1002\/14651858.CD010606.pub3.","journal-title":"Cochrane Database of Syst Rev"},{"issue":"3","key":"4566_CR9","doi-asserted-by":"publisher","first-page":"233","DOI":"10.55095\/achot2021\/037","volume":"88","author":"B \u0160evcech","year":"2021","unstructured":"\u0160evcech B, Vajczikov\u00e1 S, Chandoga I, \u0160te\u0148o B. Intramedullary nailing of supracondylar femoral fracture in patient with achondroplasia. Small size matters. Acta Chir Orthop Traumatol Cech. 2021;88(3):233\u20136.","journal-title":"Acta Chir Orthop Traumatol Cech"},{"issue":"1","key":"4566_CR10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/s43465-020-00294-1","volume":"55","author":"SS Dalal","year":"2021","unstructured":"Dalal SS, Chandratreya A, Singhal K, Kotwal R. Incidence of soft-tissue releases, clinical and radiological outcomes of lateral parapatellar approach for valgus arthritic knees: A 4-year follow-up study with a review of literature. JOIO. 2021;55(1):38\u201345.","journal-title":"JOIO"},{"key":"4566_CR11","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1007\/s00264-015-2893-5","volume":"40","author":"S Gunst","year":"2016","unstructured":"Gunst S, Villa V, Magnussen R, Servien E, Lustig S, Neyret P. Equivalent results of medial and lateral parapatellar approach for total knee arthroplasty in mild valgus deformities. Int Orthop. 2016;40:945\u201351.","journal-title":"Int Orthop"},{"key":"4566_CR12","doi-asserted-by":"publisher","DOI":"10.26355\/joints_20241_840","volume":"2","author":"D Enea","year":"2024","unstructured":"Enea D, Catalani N, Ramazzotti D, Sgolacchia C, Orni C, Gambelli C, Coviello M, Cassano D, Moretti L, Dei GL. Blood loss in TKR: perspective evaluation of three post-operative protocols. JOINTS. 2024;2: e840. https:\/\/doi.org\/10.26355\/joints_20241_840.","journal-title":"JOINTS"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04566-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04566-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04566-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T01:45:17Z","timestamp":1715391917000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04566-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,11]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4566"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04566-4","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2024,5,11]]},"assertion":[{"value":"20 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written Ethics approval and consent to participate is obtained from the Gezira center for Orthopedic surgery and traumatology medical administration.In the report, every conceivable effort has been made to safeguard the patient\u2019s privacy and maintain strict confidentiality. All identifying information has been meticulously removed or altered to ensure anonymity. The utmost care has been taken to protect the patient\u2019s identity throughout the document.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of the patient\u2019s clinical details and clinical images was obtained from the patient. A copy of the consent is available for the Editor of the journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"240"}}