特立帕肽治疗青年成人Garden IV型股骨颈骨折内固定松动术后骨不连：1例报告

Treatment of postoperative non-union with internal fixation loosening of Garden IV femoral neck fracture with teriparatide in a young adult: A case report.

作者信息

Lai Lili, Li Yifan, Shen Miaoda, Wang Xuanwei, Zhong Cheng, Xu Sanzhong

机构信息

Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Front Surg. 2022 Nov 3;9:938595. doi: 10.3389/fsurg.2022.938595. eCollection 2022.

DOI:10.3389/fsurg.2022.938595

PMID:36406375

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9669336/

Abstract

BACKGROUND

Postoperative non-union of femoral neck fracture often needs secondary operation. We report a case of a postoperative non-union of femoral neck fracture treated with teriparatide.

CASE PRESENTATION

A young male patient with Garden IV femoral neck fracture who showed no obvious signs of healing 3 months after percutaneous hollow nail fixation in which the fracture line was enlarged and the hollow nail was withdrawn. Bone non-union healed after 6 months of continuous subcutaneous injection of teriparatide at a dosage of 20 mg/day after the patient refused a secondary surgery. As far as we know, there have been no relevant reports on this type of fracture yet.

CONCLUSIONS

Teriparatide is expected to be beneficial in treating young patients with a displaced femoral neck fracture who have difficulty in healing from non-union and who are keen on avoiding secondary surgery.

摘要