Femoral canal obliteration secondary to prolonged alendronate use: a case report.
case_report · Level V
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Abstract
Insufficiency fractures secondary to prolonged alendronate use is due to inhibition of osteoclastic activity and suppressed bone turnover. Complications of fracture fixation include non-union, mal-union, and difficulty in intramedullary nail insertion. We report a technical challenge in intramedullary nailing of an obliterated femoral canal in a patient on long-term bisphosphonate treatment. The fracture site was explored. The medullary canal was re-created by drilling. Patience and caution during drilling and reaming are necessary to avoid iatrogenic fractures.
Medical subject headings
- Alendronate
- Bone Density Conservation Agents
- Femoral Fractures
- Fracture Fixation, Intramedullary
- Fractures, Stress
Anatomy
- femur