Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report
| Autor: | Chin Tat Lim, Tony Setiobudi, Shamal Das De |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 20 (2012) |
| Druh dokumentu: | article |
| ISSN: | 2309-4990 23094990 |
| DOI: | 10.1177/230949901202000125 |
| Popis: | Insufficiency fractures secondary to prolonged alendronate use is due to inhibition of osteoclastic activity and suppressed bone turnover. Complications of fracture fixation include non-union, mal-union, and difficulty in intramedullary nail insertion. We report a technical challenge in intramedullary nailing of an obliterated femoral canal in a patient on long-term bisphosphonate treatment. The fracture site was explored. The medullary canal was re-created by drilling. Patience and caution during drilling and reaming are necessary to avoid iatrogenic fractures. |
| Databáze: | Directory of Open Access Journals |
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