Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report
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 intramedulla...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2012-04-01
|
| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901202000125 |
| _version_ | 1818313461084454912 |
|---|---|
| author | Chin Tat Lim Tony Setiobudi Shamal Das De |
| author_facet | Chin Tat Lim Tony Setiobudi Shamal Das De |
| author_sort | Chin Tat Lim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T08:34:06Z |
| format | Article |
| id | doaj.art-dbb76b5d59c94d0caf925a9e53abe8df |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-13T08:34:06Z |
| publishDate | 2012-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-dbb76b5d59c94d0caf925a9e53abe8df2022-12-21T23:53:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902012-04-012010.1177/230949901202000125Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case ReportChin Tat LimTony SetiobudiShamal Das DeInsufficiency 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.https://doi.org/10.1177/230949901202000125 |
| spellingShingle | Chin Tat Lim Tony Setiobudi Shamal Das De Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report Journal of Orthopaedic Surgery |
| title | Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report |
| title_full | Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report |
| title_fullStr | Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report |
| title_full_unstemmed | Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report |
| title_short | Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report |
| title_sort | femoral canal obliteration secondary to prolonged alendronate use a case report |
| url | https://doi.org/10.1177/230949901202000125 |
| work_keys_str_mv | AT chintatlim femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport AT tonysetiobudi femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport AT shamaldasde femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport |