지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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A number of reports regarding atypical fractures of the femur have raised questions concerning the possible correlation between long-term bisphosphonate treatment and the occurrence of insufficiency fractures in the proximal femur.
However, clinically, it is often confused whether is it a fatigue fracture because of implant induced stress concentration or a bisphosphonate-related atypical fracture, especially in a patient with a subtrochanteric fracture who receive bisphosphonate therapy after open reduction and internal fixation, such as dynamic hip screw (DHS) fixation for previous ipsilateral femoral neck or intertrochanteric fracture. The authors experienced a case of a progressive femoral insufficiency fracture in a woman who had been on Fosamax (Alendronic acid with Vitamin D; Merck & Co. Inc, NJ,USA) therapy for four years after ipsilateral femoral neck fracture treated with a two hole DHS system. Despite a high suspicion of an insufficiency femoral subtrochanteric fracture by bone scan, the occult fracture progressed to a displaced femoral subtrochanteric fracture one year after. The fracture site was fixed with a 6 hole DHS plate, and six months after reoperation the patient had no symptoms and the fracture site had united without any complication.
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참고문헌 (8)
참고문헌 신청
Capeci CM / 2009 / Bilateral low-energy simultaneous or sequential femoral fractures in patients on long-term alendro-nate therapy / J Bone Joint Surg Am 91 : 2556 ~ 2561
Goh SK / 2007 / Subtrochanteric insufficiency fractures in patients on alendronate therapy: a caution / J Bone Joint Surg Br 89 : 349 ~ 353
Ha YC / 2010 / Is surgery necessary for femoral insufficiency fractures after long-term bisphosphonate therapy? / Clin Orthop Relat Res 468 : 3393 ~ 3398
Kwek EB / 2008 / An emerging pattern of subtrochanteric stress fractures: a long-term complication of alendronate therapy? / Injury 39 : 224 ~ 231
McKiernan FE / 2011 / A long femur scan field does not alter proximal femur bone mineral density measurements by dual-energy X-ray absorptiometry / J Clin Densitom 14 : 354 ~
Goh SK / 2007 / Subtrochanteric insufficiency fractures in patients on alendronate therapy: a caution / J Bone Joint Surg Br 89 : 349 ~ 353
Ha YC / 2010 / Is surgery necessary for femoral insufficiency fractures after long-term bisphosphonate therapy? / Clin Orthop Relat Res 468 : 3393 ~ 3398
Kwek EB / 2008 / An emerging pattern of subtrochanteric stress fractures: a long-term complication of alendronate therapy? / Injury 39 : 224 ~ 231
McKiernan FE / 2011 / A long femur scan field does not alter proximal femur bone mineral density measurements by dual-energy X-ray absorptiometry / J Clin Densitom 14 : 354 ~
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