Subtrochanteric femoral fractures: a comparative study of the long proximal femoral nail and the long trochanteric fixation nail

Muñoz-Mahamud, Ernesto; García-Oltra, Ester; Fernández-Valencia, Jenaro Á.; Zumbado, J. A.; Ríos, José; Suso, S.; Bori, Guillem

doi:10.1007/s00590-010-0741-2

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…V opačnom prípade sa odporúča observácia pacienta a odľahčovanie končatiny. Ak došlo pri dlhodobom užívaní BP k zlomenine, riziko ďalšej zlomeniny pretrváva (8,10,11,13,14,17). Otázkou je, či pokračovať v liečbe BP aj v prípade manifestácie vyššie uvedených problémov.…”

Section: Diskusiaunclassified

Bilateral Pathological Sub-trochanteric Fracture in a Long-Term Biphosphonate User

P¹,

Tomcovcík²,

Kľoc³

2011

Acta Chir. orthop. Traum. Cech.

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The number of papers reporting the occurrence of specific pathological fractures in long-term biphosphonate users has recently increased. They refer to the forms of stress fracture probably resulting from an extreme decrease in bone turnover, which may involve sub-trochanteric or isolated transverse fractures, or short transverse fractures with a unicortical beak in an area of cortrical hypertrophy. At the time of prodromal signs and symptoms, cortical bone at the site of impeding fracture appears rougher on radiographs. Gradually, an incomplete fracture develops, with a subsequent complete fracture often sustained without any mechanism of injury noted. The occurrence of such fractures is reported in the range of 2 to 8 years from the start of biphosphonate use. The fractures are often bilateral and, at the time the first occurs, it is often possible to diagnose contralateral pathological changes similar to those before the first fracture.The paper presents the case of a female patient who sustained a bilateral pathological sub-trochanteric fracture; the first fracture occurred after 5 and the other after 9 years of Rizendronat use. She was followed up for unilateral incomplete subtrochanteric fracture from the fourth year of its use. In that period, magnetic resonance imaging showed a pathological finding in the contralateral extremity. She had already had prodromal signs manifested as lasting hip pain before the first fracture. Both fractures were surgically treated. Thirty-three months later she had to undergo repeat surgery for pseudoarthrosis at the site of the first fracture. The pseudoarthrosis healed without complications. However, in the second fracture non-union was still present at 7 months after surgery. The patient took Rizendronat during the whole treatment period and thereafter. In the discussion, certain aspects of long-term biphosphonate use are addressed, as well as some preventive, diagnostic and therapeutic procedures related to this rare complication.

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Section: Diskusiaunclassified

Bilateral Pathological Sub-trochanteric Fracture in a Long-Term Biphosphonate User

P¹,

Tomcovcík²,

Kľoc³

2011

Acta Chir. orthop. Traum. Cech.

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“…U zlomenin bazicervikálních a stabilních pertrochanterických byla provedena osteosyntéza DHS, u nestabilních pertrochanterických a intertrochanterických zlomenin osteosyntéza PFN a u subtrochanterických zlomenin osteosyntéza DCS. Indikace byla v souladu s recentními doporučeními (10,26). O typu anestezie rozhodoval anesteziolog.…”

Section: Způsob Ošetření a Perioperační Péčeunclassified

Pressure Ulcer and Mortality Risk after Surgical Treatment of Proximal Femoral Fractures in the Elderly

Kopp¹,

Obruba²,

Edelmann³

et al. 2011

Acta Chir. orthop. Traum. Cech.

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Nailing or plating for subtrochanteric femoral fractures: a non-randomized comparative study

İmerci

Canbek

Karatosun

et al. 2015

Eur J Orthop Surg Traumatol

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This study demonstrated that in the reverse LISS-DF-treated group, the mean time for bone union was longer and weight bearing was delayed. Considering the surgical technique, minimal surgical approach, reduced amount of blood transfusion and superior functional results following surgery, we concluded that the PFNA system offers advantages over reverse LISS-DF plating in the treatment of subtrochanteric femur fractures.

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Subtrochanteric femoral fractures: a comparative study of the long proximal femoral nail and the long trochanteric fixation nail

Cited by 5 publications

References 19 publications

Bilateral Pathological Sub-trochanteric Fracture in a Long-Term Biphosphonate User

Bilateral Pathological Sub-trochanteric Fracture in a Long-Term Biphosphonate User

Pressure Ulcer and Mortality Risk after Surgical Treatment of Proximal Femoral Fractures in the Elderly

Nailing or plating for subtrochanteric femoral fractures: a non-randomized comparative study

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