PDF(Pubmed)
Abstract：
UNASSIGNED: Long-term bisphosphonate (BP) administration may cause an atypical femoral fracture that is occasionally bilateral. We encountered a case of an impending atypical femoral fracture on the contralateral side that progressed to a complete fracture early after surgery for an atypical femoral fracture.
UNASSIGNED: An 83-year-old woman who had received long-term BP therapy developed a right femoral atypical incomplete fracture that progressed to a complete fracture 5 days after surgery for an atypical complete left femoral fracture.
UNASSIGNED: The findings from this case suggest that when an atypical femoral fracture occurs in patients receiving long-term BP therapy, the possibility of an impending atypical femoral fracture on the contralateral side should be considered, and radiographs or CT images should be obtained for both legs. To prevent long-term bed rest in older adults, one- or two-stage bilateral surgery should be considered when imaging reveals bilateral atypical femoral fractures.
UNASSIGNED: An 83-year-old woman who had received long-term BP therapy developed a right femoral atypical incomplete fracture that progressed to a complete fracture 5 days after surgery for an atypical complete left femoral fracture.
UNASSIGNED: The findings from this case suggest that when an atypical femoral fracture occurs in patients receiving long-term BP therapy, the possibility of an impending atypical femoral fracture on the contralateral side should be considered, and radiographs or CT images should be obtained for both legs. To prevent long-term bed rest in older adults, one- or two-stage bilateral surgery should be considered when imaging reveals bilateral atypical femoral fractures.
摘要：
■长期给予双膦酸盐（BP）可能会导致非典型股骨骨折，偶尔为双侧。我们遇到一例对侧即将发生的非典型股骨骨折，在非典型股骨骨折手术后早期发展为完全骨折。
一名接受长期BP治疗的83岁女性患者出现右股骨非典型不完全性骨折，术后5天进展为完全性骨折，为非典型完全性左股骨骨折。
■此病例的研究结果表明，当接受长期BP治疗的患者发生非典型股骨骨折时，应考虑对侧即将发生的非典型股骨骨折的可能性，和X线照片或CT图像应该获得两条腿。为了防止老年人长期卧床休息，当影像学显示双侧不典型股骨骨折时,应考虑进行一期或两期双侧手术.
一名接受长期BP治疗的83岁女性患者出现右股骨非典型不完全性骨折，术后5天进展为完全性骨折，为非典型完全性左股骨骨折。
■此病例的研究结果表明，当接受长期BP治疗的患者发生非典型股骨骨折时，应考虑对侧即将发生的非典型股骨骨折的可能性，和X线照片或CT图像应该获得两条腿。为了防止老年人长期卧床休息，当影像学显示双侧不典型股骨骨折时,应考虑进行一期或两期双侧手术.
