1. Corrective osteotomy in femoral non-union in drug-induced hypophosphataemic osteomalacia.
- Author
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Sit YK and Lui TH
- Subjects
- Adenine adverse effects, Femoral Neck Fractures etiology, Fractures, Ununited etiology, Humans, Male, Middle Aged, Rickets, Hypophosphatemic complications, Adenine analogs & derivatives, Antiviral Agents adverse effects, Femoral Neck Fractures surgery, Fracture Fixation, Intramedullary, Fractures, Ununited surgery, Organophosphonates adverse effects, Osteotomy, Rickets, Hypophosphatemic chemically induced
- Abstract
Adefovir/tenofovir are commonly used antiviral agents in the treatment of chronic hepatitis B infection (CHB). We report a case of CHB-related cirrhosis presenting with sequential femoral neck fractures. Operative reduction and fixation was performed. Laboratory result and imaging was consistent with hypophosphataemic osteomalacia. He had bilateral femoral neck non-union and presented with a new left side subtrochanteric femoral fracture. Corrective osteotomy and cephalomedullary fixation was performed. The fractures healed in 6 months after correction of the hypophosphataemia.
- Published
- 2014
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