Jethanandani Rishabh G, Nwankwo Chima, Wolinsky Philip R, Giordani Mauro, Amanatullah Derek F
Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Department of Orthopaedic Surgery, St. Mary's Medical Center, San Francisco, CA, USA.
Arthroplast Today. 2016 Aug 24;2(4):153-156. doi: 10.1016/j.artd.2016.04.001. eCollection 2016 Dec.
We present a case of a bisphosphonate-related femur fracture in an elderly woman, who failed treatment with both cephalomedullary nail and proximal femoral locking plate, leading to successful treatment with total hip arthroplasty. Hardware failure should be included in the differential of patients with previous internal fixation of bisphosphonate-related femur fracture that present with hip or groin pain. Arthroplasty can be an acceptable salvage option in an active elderly patient with a bisphosphonate-related femur fracture.
我们报告了一例老年女性双膦酸盐相关的股骨骨折病例，该患者使用髓内钉和股骨近端锁定钢板治疗均失败，最终通过全髋关节置换术成功治愈。对于既往有双膦酸盐相关股骨骨折内固定史且出现髋部或腹股沟疼痛的患者，鉴别诊断时应考虑内固定失败。对于患有双膦酸盐相关股骨骨折的活跃老年患者，关节置换术可能是一种可接受的挽救选择。
