Acetabular Insufficiency Fracture Following Prolonged Alendronate Use and the Failure of Total Hip Arthroplasty in “Frozen” Bone: Two Cases Report / 대한고관절학회지
Hip & Pelvis
;
: 286-290, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-10858
ABSTRACT
Atypical insufficiency fracture of the femur following prolonged bisphosphonate use is well described. Regardless of the cause, insufficiency fracture of the acetabulum is extremely rare, and no reports have described insufficiency fractures of the acetabulum that are associated with prolonged bisphosphonate use. This report demonstrates the possibility of insufficiency fracture at the acetabulum following long-term alendronate use and the necessity of particular care in managing insufficiency fractures in “frozen” bone. We describe two cases of insufficiency fracture of the acetabulum following 6 years of alendronate use. Given the patients' medical histories and bone biopsy findings, these insufficiency fractures were thought to be attributable to alendronate use. One case involved the left hip and the presence of pelvic fractures on the opposite side. The patient was treated using cementless total hip arthroplasty (THA), which failed 1 year after surgery. The hip was revised with a massive bone graft and a supportive wire mesh. The other case was managed via THA with a Ganz reinforcement ring due to concerns regarding the use of a cementless implant.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Biopsia
/
Fracturas por Estrés
/
Alendronato
/
Artroplastia de Reemplazo de Cadera
/
Trasplantes
/
Fémur
/
Cadera
/
Acetábulo
Límite:
Humanos
Idioma:
Inglés
Revista:
Hip & Pelvis
Año:
2017
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS