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CASE REPORTS
Year : 2022  |  Volume : 37  |  Issue : 1  |  Page : 26-29

Atypical fixation failure after the internal fixation of a peri-implant subtrochanteric fracture in a patient on long-term bisphosphonate therapy and its management: An interesting case report


Department of Orthopaedics, Institute of Medical Sciences, Banaras Hindu University (IMS-BHU), Varanasi, Uttar Pradesh, India

Correspondence Address:
Arulkumar Nallakumarasamy
Department of Orthopedics, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jbjd.jbjd_5_22

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Bisphosphonate therapy should be properly monitored in the treatment of osteoporosis, since it affects the bone turnover and may cause fatigue fractures. A new clinical adverse outcome due to long-term bisphosphonate therapy specifically in a postoperative osteoporotic patient is peri-implant fractures that are rarely described in the literature. Our case report describes an untoward biomechanical failure in the fixation of a peri-implant subtrochanteric fracture in an osteoporotic patient who is on long-term alendronate therapy and had been operated previously with dynamic hip screw and its management with 1-year follow-up.


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