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Bilateral subtrochanteric femoral fractures in a previous alendronate-medicated patient: a case report

Authors Triplet J, Hawkes T, Lwin S

Received 23 April 2014

Accepted for publication 22 May 2014

Published 5 August 2014 Volume 2014:6 Pages 5—9


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Jacob J Triplet,1 Timothy Hawkes,2 Sein Lwin2

1Nova Southeastern University, College of Osteopathic Medicine, Fort Lauderdale, FL, USA; 2Broward Health Medical Center, Orthopedic Surgery Residency Program, Fort Lauderdale, FL, USA

Abstract: Bisphosphonate therapy is commonly employed in the management of osteoporosis. Several drug-associated adverse events are well established but are often not considered in patients who have discontinued therapy. Here, we present the case of a patient who sustained bilateral atypical subtrochanteric fractures 1 year after discontinuation of long-term bisphosphonate therapy. We discuss the prodromal clinical presentations and the importance of radiographic imaging to investigate impending fractures. The treatment of these fractures included the implementation of a drug holiday and the use of intramedullary nail stabilization.

Keywords: bisphosphonate, femur, osteoporosis, prophylactic stabilization

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