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Korean Journal of Bone Metabolism 2010;17(2):121-125.
Nonunion and Failure of Cephalomedullary Nail in Subtrochanteric Insufficiency Fracture
대퇴골 전자하부 부전 골절의 치료 중에 발생한 불유합과 Cephalomedullary Nail의 파절
이준상,송형근,윤한국1,양규현
연세대학교 의과대학 정형외과학교실, 국민건강보험공단 일산병원 정형외과1
Abstract
The authors report a case of nonunion and failure of cephalomedullary nail which was inserted for treatment of subtrochanteric insufficiency fracture in a patient who was under long-term alendronate therapy. Subtrochanteric fracture had all major features of insufficiency fracture: short oblique configuration, noncomminuted, complete fracture with a medial spike and association with minimal trauma. It also had several minor features such as localized perisosteal reaction, generalized increase in cortical thickness, prodromal symtopms (thigh pain), delayed healing, and use of bisphosphonate. These major and minor features are reported by the task force team of the American Society of Bone and Mineral Research for atypical femoral fracture at the end of September 2010. [Korean Journal of Bone Metabolism, 17(2): 121-125, 2010]
Key Words: Bisphosphonate, Cephalomedullary nail, Subtrochanteric insufficiency fracture
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