Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report

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...

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Bibliographic Details
Main Authors: Chin Tat Lim, Tony Setiobudi, Shamal Das De
Format: Article
Language:English
Published: SAGE Publishing 2012-04-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901202000125
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spelling doaj-dbb76b5d59c94d0caf925a9e53abe8df2020-11-25T02:48:37ZengSAGE 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
collection DOAJ
language English
format Article
sources DOAJ
author Chin Tat Lim
Tony Setiobudi
Shamal Das De
spellingShingle Chin Tat Lim
Tony Setiobudi
Shamal Das De
Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report
Journal of Orthopaedic Surgery
author_facet Chin Tat Lim
Tony Setiobudi
Shamal Das De
author_sort Chin Tat Lim
title 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_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_sort femoral canal obliteration secondary to prolonged alendronate use: a case report
publisher SAGE Publishing
series Journal of Orthopaedic Surgery
issn 2309-4990
publishDate 2012-04-01
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.
url https://doi.org/10.1177/230949901202000125
work_keys_str_mv AT chintatlim femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport
AT tonysetiobudi femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport
AT shamaldasde femoralcanalobliterationsecondarytoprolongedalendronateuseacasereport
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