Rescate de seudoartrosis asociada a falla de la osteosíntesis en fractura femoral por bifosfonatos. reporte de un caso y revisión bibliográfica / Nonunion rescue associated with osteosynthesis failure in femoral fracture due to bisphosphonates. case report and literature review
Rev. Asoc. Argent. Ortop. Traumatol
;
82(Supl): S8-S14, 2017. []
Article
in Spanish
| LILACS, BINACIS
| ID: biblio-982771
RESUMEN
Las fracturas asociadas al consumo crónico de bifosfonatos son cuadros descritos recientemente en la literatura médica, que presentan altas tasas de seudoartrosis. Presentamos un caso de rescate de seudoartrosis de fractura femoral subtrocantérica atípica por bifosfonatos asociada a falla del material de osteosíntesis, tratada finalmente con clavo endomedular cervicodiafisario e injerto estructural de peroné. El tratamiento con clavo cervicodiafisario más injerto autólogo está indicado para la seudoartrosis en fracturas femorales asociadas a bifosfonatos. Nivel de Evidencia IV.
ABSTRACT
Fractures associated with chronic use of bisphosphonates are recently described entities, with high rates of nonunion. We report a case of nonunion rescue of an atypical subtrochanteric bisphosphonate femoral fracture associated with osteosynthesis failure, which was finally treated using an intramedullary nail and structural fibular graft. Treatment with autologous graft and neck-nail is indicated for nonunion in femoral fractures associated with bisphosphonates. Level of Evidence IV.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pseudarthrosis
/
Bone Transplantation
/
Diphosphonates
/
Femoral Fractures
/
Fracture Fixation, Intramedullary
/
Hip Fractures
Type of study:
Risk factors
Limits:
Aged
/
Humans
Language:
Spanish
Journal:
Rev. Asoc. Argent. Ortop. Traumatol
Journal subject:
Orthopedics
Year:
2017
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital Italiano de Buenos Aires/AR
Similar
MEDLINE
...
LILACS
LIS