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BMJ Case Rep. 2013 Nov 28;2013. pii: bcr2013201931. doi: 10.1136/bcr-2013-201931.

Bisphosphonate-induced atypical subtrochanteric femoral fracture.

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1
Department of Orthopaedic and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India.

Abstract

The use of bisphosphonates (BPs) is universally accepted in the management of osteoporosis. However, a small percentage of patients have been recognised to develop atypical subtrochanteric fractures of the femur with the prolonged use of BPs. We report a rare case of bilateral insufficiency lesions in the proximal femora, where a major subtrochanteric fracture developed with a minor fall. This was successfully treated with internal fixation using proximal femoral nail.

PMID:
24287483
PMCID:
PMC3847598
DOI:
10.1136/bcr-2013-201931
[Indexed for MEDLINE]
Free PMC Article
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