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Atypical Tibial Fracture Following Chronic Bisphosphonate Use: A Case Report and Review of the Literature
Hector Sanchez-Fernandez1, Jose I Acosta Julbe2, José A Rosario Gonzalez3
1Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, PRI.
Abstract:
Atypical fractures are diagnosed when an otherwise normal force causes a fracture in a patient using bisphosphonates chronically. These occur most commonly in the subtrochanteric region of the femur. Yet, the literature on atypical tibial shaft fractures is scarce. We describe a case of a 60-year-old Hispanic female who presented with an atypical open tibial fracture with a seven-year history of bisphosphonate use, successfully managed with intramedullary nailing.
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