PDF(Pubmed)
Abstract：
Bisphosphonates have been accepted as the first-line treatment for postmenopausal osteoporosis. Atypical femoral shaft fracture is one of the side effects of long-term bisphosphonate therapy. The mainstay treatment of this atypical fracture is bisphosphonates cessation and stabilization with internal fixation. We are reporting a rare case of a blocked intramedullary femoral canal found during surgery of an 85-year-old Indian lady with an atypical femoral shaft fracture related to her five-year alendronate therapy. We found difficulty in passing the guidewire through the fracture site during the closed method, which renders open reduction to manage the obliterated intramedullary canal. The importance of changing decisions intraoperatively should be highlighted to avoid further complications. Fracture union is achieved during our follow-up in the clinic.
摘要：
双膦酸盐已被接受为绝经后骨质疏松症的一线治疗。非典型股骨干骨折是长期双膦酸盐治疗的副作用之一。这种非典型骨折的主要治疗方法是双膦酸盐停止和内固定稳定。我们正在报告一例罕见的病例，该病例是在一名85岁的印度女士手术中发现的，该女士患有与五年阿仑膦酸盐治疗有关的非典型股骨干骨折。我们发现在闭合方法中，导丝难以穿过骨折部位，这使得切开复位来管理闭塞的髓内管。应强调术中改变决策的重要性，以避免进一步的并发症。我们在临床随访期间实现了骨折愈合。
