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Nonunions of Bisphosphonate Fractures of the Femur: Presentation, Etiopathogenesis, Diagnosis, and Operative Treatment
- Source :
- Journal of orthopaedic trauma. 33
- Publication Year :
- 2019
-
Abstract
- Patients presenting with femoral fractures and long-term use of bisphosphonate treatment are at risk of developing a delayed union and/or nonunion as a result of the atypical metabolic activity prevailing at the fracture edges of the affected extremity. The treatment of these nonunions poses a serious challenge to orthopaedic surgeons worldwide and necessitates specialized techniques and materials to design a construct that will last a long period (greater than 6 months), while still allowing weight-bearing in this elderly population. Treatment options, timing of intervention, selection of implant, and the option of bone grafting are discussed to assist the clinician to make the right decisions in these complex clinical cases.
- Subjects :
- Reoperation
medicine.medical_specialty
medicine.medical_treatment
Nonunion
Bone grafting
Bone Nails
Risk Assessment
03 medical and health sciences
Fracture Fixation, Internal
0302 clinical medicine
Bone plate
Fracture fixation
medicine
Humans
Orthopedics and Sports Medicine
Femur
Pain Measurement
Fracture Healing
030222 orthopedics
Bone Transplantation
Diphosphonates
business.industry
030208 emergency & critical care medicine
General Medicine
Prostheses and Implants
Bisphosphonate
Middle Aged
medicine.disease
Prognosis
Surgery
Fracture Fixation, Intramedullary
Treatment Outcome
Fractures, Ununited
Accidental Falls
Female
Implant
business
Risk assessment
Bone Plates
Femoral Fractures
Osteoporotic Fractures
Subjects
Details
- ISSN :
- 15312291
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Journal of orthopaedic trauma
- Accession number :
- edsair.doi.dedup.....a0c1ab9d5407c847b400ffdfffe4a16a