{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T04:03:49Z","timestamp":1685160229651},"reference-count":3,"publisher":"National Library of Serbia","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta chir iugo","ACTA CHIR IUG","ACTA CHIR IUGOSL"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Beta thalassemia major is rare in Serbia. Previously incurable, affected patients now live to adulthood with regular blood transfusions. The improvement in supportive treatment over recent decades has given rise to many more patients suffering from the associated metabolic complications of anemia and iron overload, such as osteopenia and other skeletal changes. We present two patients with severe beta thalassemia major from early childhood, who encountered pathological long-bone fractures during the clinical course of their disease. One suffered a distal femoral diaphyseal fracture, and the second a distal tibia fracture. Both fractures occurred in osteopenic bone and were managed non-operatively due to the patients' general medical condition. Despite intense medical intervention, both patients died from disease progression within one year of their fractures, aged 23 and 24 years. As life expectancy rises it is anticipated that an increased number of beta thalassemia major patients will suffer pathological long-bone and other osteoporotic fractures. These fractures appear to both herald and contribute to a general clinical deterioration of this disease. Advances in stem-cell technology may hold the key for a definitive cure.<\/jats:p>","DOI":"10.2298\/aci1002099l","type":"journal-article","created":{"date-parts":[[2010,9,15]],"date-time":"2010-09-15T11:58:45Z","timestamp":1284551925000},"page":"99-102","source":"Crossref","is-referenced-by-count":0,"title":["Thalassemia major: A report of two cases with severe skeletal involvement"],"prefix":"10.2298","volume":"57","author":[{"given":"A.","family":"Lesic","sequence":"first","affiliation":[{"name":"Institute for orthopaedic surgery and traumatology, Clinical Center of Serbia, School of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Bogdanovic","sequence":"additional","affiliation":[{"name":"Institute for hematology, Clinical Center of Serbia, School of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Sudjic","sequence":"additional","affiliation":[{"name":"Institute for orthopaedic surgery and traumatology, Clinical Center of Serbia, School of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Suvajdzic-Vukovic","sequence":"additional","affiliation":[{"name":"Institute for hematology, Clinical Center of Serbia, School of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.D.E.","family":"Atkinson","sequence":"additional","affiliation":[{"name":"North London Sports Orthopaedics, Department of Trauma and Orthopaedics, North Middlesex University Hospital, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Bumbasirevic","sequence":"additional","affiliation":[{"name":"Institute for orthopaedic surgery and traumatology, Clinical Center of Serbia, School of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.1998.01107.x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1998.tb10491.x"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)00013-6"}],"container-title":["Acta chirurgica Iugoslavica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T12:09:01Z","timestamp":1685102941000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0354-950X1002099L"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":3,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010]]}},"URL":"https:\/\/doi.org\/10.2298\/aci1002099l","relation":{},"ISSN":["0354-950X","2406-0887"],"issn-type":[{"value":"0354-950X","type":"print"},{"value":"2406-0887","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010]]}}}