DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT

In this paper, the authors present a case of osteo-arthtritis of the hip secondary to a septic event which was surgically treated with a hip prosthesis and complicated by intraoperative fracture due to a localized disuse osteoporosis. Disuse osteoporosis is an induced rapid bone loss in human skelet...

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Main Author: Antonio D'Arienzo
Format: Article
Language:English
Published: Associazione Italiana Giovani Medici 2020-05-01
Series:Euromediterranean Biomedical Journal
Subjects:
Online Access:http://www.embj.org/wp-content/uploads/2020/05/DArienzo_17.pdf
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author Antonio D'Arienzo
author_facet Antonio D'Arienzo
author_sort Antonio D'Arienzo
collection DOAJ
description In this paper, the authors present a case of osteo-arthtritis of the hip secondary to a septic event which was surgically treated with a hip prosthesis and complicated by intraoperative fracture due to a localized disuse osteoporosis. Disuse osteoporosis is an induced rapid bone loss in human skeleton that occurs mostly after a cord injury or muscle paralysis. Hypodynamia can also be a risk factor for osteoporosis. In this case the author describe the onset of a femoral intraoperative fragility fracture in a 58 year old woman affected by an erosive septic osteoarthritis. Our case suggest that disuse osteoporosis presence should be diagnosed and treated before surgery to help prevent major surgical or post-operative complications beginning a pharmacological antiresorptive treatment before the surgery.
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spelling doaj.art-39482d75a9734aaaa96e27ad006b4caf2022-12-22T00:21:32ZengAssociazione Italiana Giovani MediciEuromediterranean Biomedical Journal2279-71652279-71652020-05-011517747610.3269/1970-5492.2020.15.17DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORTAntonio D'Arienzo0https://orcid.org/0000-0003-1016-5944University of PisaIn this paper, the authors present a case of osteo-arthtritis of the hip secondary to a septic event which was surgically treated with a hip prosthesis and complicated by intraoperative fracture due to a localized disuse osteoporosis. Disuse osteoporosis is an induced rapid bone loss in human skeleton that occurs mostly after a cord injury or muscle paralysis. Hypodynamia can also be a risk factor for osteoporosis. In this case the author describe the onset of a femoral intraoperative fragility fracture in a 58 year old woman affected by an erosive septic osteoarthritis. Our case suggest that disuse osteoporosis presence should be diagnosed and treated before surgery to help prevent major surgical or post-operative complications beginning a pharmacological antiresorptive treatment before the surgery.http://www.embj.org/wp-content/uploads/2020/05/DArienzo_17.pdfdisuse osteoporosisfragility fractureshypodynamiahip prosthesis
spellingShingle Antonio D'Arienzo
DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
Euromediterranean Biomedical Journal
disuse osteoporosis
fragility fractures
hypodynamia
hip prosthesis
title DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
title_full DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
title_fullStr DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
title_full_unstemmed DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
title_short DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT
title_sort disuse osteoporosis and hip prosthesis surgical implications a case report
topic disuse osteoporosis
fragility fractures
hypodynamia
hip prosthesis
url http://www.embj.org/wp-content/uploads/2020/05/DArienzo_17.pdf
work_keys_str_mv AT antoniodarienzo disuseosteoporosisandhipprosthesissurgicalimplicationsacasereport