1. Effects of 1 to 3 years' treatment with alendronate on mechanical properties of the femoral shaft in a canine model: implications for subtrochanteric femoral fracture risk.
- Author
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Burr DB, Diab T, Koivunemi A, Koivunemi M, and Allen MR
- Subjects
- Alendronate therapeutic use, Animals, Biomechanical Phenomena drug effects, Biomechanical Phenomena physiology, Bone Density Conservation Agents therapeutic use, Disease Models, Animal, Dogs, Dose-Response Relationship, Drug, Female, Femoral Fractures physiopathology, Femoral Fractures prevention & control, Osteoporosis complications, Osteoporosis physiopathology, Risk Factors, Alendronate pharmacology, Bone Density Conservation Agents pharmacology, Femoral Fractures epidemiology, Femur drug effects, Femur physiopathology
- Abstract
Bisphosphonate (BP) treatment used to prevent bone loss in postmenopausal osteoporosis has recently been implicated in an apparent increase in subtrochanteric femoral fractures. Previous work showed that BPs can reduce the energy to fracture of cancellous bone, but limited data exist on material-level mechanical properties of compact bone from the long bones. This study examined intrinsic mechanical properties of the femoral diaphysis of a canine model treated for 1 or 3 years with alendronate at two different doses. Seventy-two dogs were treated orally with 0.2 mg/kg/day alendronate or 1.0 mg/kg/day alendronate; a control group was administered saline. Prismatic beam specimens were tested in four-point bending under displacement control, and the intrinsic mechanical properties were calculated. No significant differences were found among groups in any mechanical property at either 1 or 3 years of treatment. We conclude that the material properties of the femoral diaphysis are not degraded following 1 to 3 years treatment with alendronate, even at high doses. Longer periods of treatment have not been studied using clinical doses of alendronate, but such studies need to be carried out to confirm a lack of effect of alendronate on mechanical properties of cortical bone in the subtrochanteric region of the femur., ((c) 2009 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.)
- Published
- 2009
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