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Article: Propagation of bisphosphonate-related femoral stress fractures despite femoral nailing: a cautionary tale from 2 cases.

TitlePropagation of bisphosphonate-related femoral stress fractures despite femoral nailing: a cautionary tale from 2 cases.
Authors
Issue Date2014
PublisherSage Publications, Inc. The Journal's web site is located at http://gos.sagepub.com/
Citation
Geriatric Orthopaedic Surgery & Rehabilitation, 2014, v. 5 n. 1, p. 14-17 How to Cite?
AbstractWe report 2 cases of atypical femoral fracture displacement despite treatment with intramedullary (IM) nailing. Both patients had received more than 3 years of bisphosphonates. One patient had prophylactic fixation of an atypical femur fracture due to intractable pain. The other had undergone nailing previously for a traumatic shaft fracture. The patient then received bisphosphonate later and sustained an atypical fracture with the nail in place. Both femoral nails were slotted, cannulated stainless steel piriformis entry designs. These 2 cases are among the first reported failures of IM fixation in preventing displacement of a bisphosphonate stress fracture. We advice caution when using slotted nails in prophylaxis of atypical femur fractures because of its significantly reduced torsional stiffness compared to modern nonopen sectioned nails.
Persistent Identifierhttp://hdl.handle.net/10722/198052
ISSN
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorFang, CXen_US
dc.contributor.authorChau, JYMen_US
dc.contributor.authorWoo, SBen_US
dc.contributor.authorLau, TWen_US
dc.contributor.authorKwan, KYHen_US
dc.contributor.authorLeung, FKLen_US
dc.date.accessioned2014-06-25T02:43:23Z-
dc.date.available2014-06-25T02:43:23Z-
dc.date.issued2014en_US
dc.identifier.citationGeriatric Orthopaedic Surgery & Rehabilitation, 2014, v. 5 n. 1, p. 14-17en_US
dc.identifier.issn2151-4585-
dc.identifier.urihttp://hdl.handle.net/10722/198052-
dc.description.abstractWe report 2 cases of atypical femoral fracture displacement despite treatment with intramedullary (IM) nailing. Both patients had received more than 3 years of bisphosphonates. One patient had prophylactic fixation of an atypical femur fracture due to intractable pain. The other had undergone nailing previously for a traumatic shaft fracture. The patient then received bisphosphonate later and sustained an atypical fracture with the nail in place. Both femoral nails were slotted, cannulated stainless steel piriformis entry designs. These 2 cases are among the first reported failures of IM fixation in preventing displacement of a bisphosphonate stress fracture. We advice caution when using slotted nails in prophylaxis of atypical femur fractures because of its significantly reduced torsional stiffness compared to modern nonopen sectioned nails.-
dc.languageengen_US
dc.publisherSage Publications, Inc. The Journal's web site is located at http://gos.sagepub.com/en_US
dc.relation.ispartofGeriatric Orthopaedic Surgery & Rehabilitationen_US
dc.rightsGeriatric Orthopaedic Surgery & Rehabilitation. Copyright © Sage Publications, Inc.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titlePropagation of bisphosphonate-related femoral stress fractures despite femoral nailing: a cautionary tale from 2 cases.en_US
dc.typeArticleen_US
dc.identifier.emailFang, CX: cfang@hku.hk, fangcx@gmail.comen_US
dc.identifier.emailLau, TW: catcher@hkucc.hku.hken_US
dc.identifier.emailKwan, KYH: kyhkwan@hku.hken_US
dc.identifier.emailLeung, FKL: klleunga@hku.hken_US
dc.identifier.authorityLeung, FKL=rp00297en_US
dc.description.naturepostprint-
dc.identifier.doi10.1177/2151458514522058-
dc.identifier.pmid24660094-
dc.identifier.pmcid3962052-
dc.identifier.hkuros229512en_US
dc.identifier.volume5-
dc.identifier.issue1-
dc.identifier.spage14-
dc.identifier.epage17-
dc.publisher.placeUnited States-

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