Sandilands Scott M, Villa Jesus M, Lavernia Carlos J
The Center for Advanced Orthopedics at Larkin, South Miami, FL, USA.
Arthritis Surgery Research Foundation, South Miami, FL, USA.
Arthroplast Today. 2016 Apr 7;2(4):147-152. doi: 10.1016/j.artd.2016.02.004. eCollection 2016 Dec.
The prolonged use of bisphosphonates has been associated with an increased rate of atypical femoral fracture. A 77-year-old woman with prolonged bisphosphonate use presented to our office with groin pain and end-stage arthritis, She was scheduled for a total hip replacement. Before the surgery and with minimal trauma, the patient then suffered a displaced atypical femoral fracture. She underwent a total hip replacement as a treatment for her fracture and her arthritis. Subsequently, the patient presented with pain in the contralateral thigh with an incomplete atypical femoral fracture. That side was also treated with a total hip arthroplasty. An uncemented stem with open reduction internal fixation and a long cemented stem were used on the complete fracture and incomplete fracture sides, respectively. At a follow-up of 2 years, the patient had no pain and had excellent function demonstrating the short-term success of both cemented and uncemented stems in total hip arthroplasty after atypical femoral fractures.
长期使用双膦酸盐与非典型股骨骨折发生率增加有关。一名长期使用双膦酸盐的77岁女性因腹股沟疼痛和终末期关节炎前来我院就诊，她计划接受全髋关节置换术。在手术前且创伤极小的情况下，该患者随后发生了移位性非典型股骨骨折。她接受了全髋关节置换术以治疗骨折和关节炎。随后，该患者对侧大腿出现疼痛，伴有不完全性非典型股骨骨折。该侧也接受了全髋关节置换术。在完全骨折侧和不完全骨折侧分别使用了切开复位内固定的非骨水泥型假体柄和长骨水泥型假体柄。在2年的随访中，患者无疼痛，功能良好，表明非典型股骨骨折后全髋关节置换术中骨水泥型和非骨水泥型假体柄均取得了短期成功。
