SURGICAL TREATMENT FOR UNUSUAL BIFOCAL FRACTURE OF PAGETIC FEMUR: A CASE REPORT AND CONCISE REVIEW OF LITERATURE

Paget’s disease is a chronic metabolic disorder of the bone, characterized by exuberant bone resorption, bone growth, and accelerate remodeling, which can make surgical reconstruction demanding in case of fracture. The intramedullary nail is considered the gold standard in these fractures but due to the prevalence of angular deformity in the Pagetic bone, other devices may be indicated. We present here a case of atypical post-traumatic bifocal fracture in a Pagetic femur, in a 91-year-old man, surgically treated with femur short nail, plate, screws and bone graft. The functional and radiological recovery after 1-year follow-up was excellent despite advanced age.