Atypical femoral fractures, also known as bisphosphonate-related proximal femoral fractures, are an example of insufficiency fractures, although the direct causative link remains somewhat controversial 2. The atypical fracture pattern occurs in the femur shaft and may be unilateral or bilateral. See more The rate of this fracture pattern outlined above in women who are treated continuously with bisphosphonates is 1 in 1000 compared to … See more Biphosphonate and RANKL inhibitors such as denosumab are linked to this type of fracture but it has not been unquestionably proven due to a lack of high-quality data 2,5. The proposed … See more Most patients have been on long-term bisphosphonate therapy (>3-5 years) and report a weeks-to-months history of thigh or groin pain 1,2,5,6. … See more WebJul 21, 2024 · Bisphosphonates inhibit bone resorption by suppressing osteoclast activity. There is theoretical concern that bisphosphonates may impair fracture healing …
Bisphosphonate-Related Osteonecrosis of the Jaw - Medscape
WebIbandronate was discontinued. The two uncommon adverse events of long term bisphosphonate use are osteonecrosis of jaw and atypical femur fractures. There is significant controversy regarding the optimal duration of therapy of bisphosphonates. Some authors have recommended the use of drug holidays. However, there is no … WebApr 13, 2024 · In a retrospective study, bisphosphonates did not appear to interfere with fracture healing. Bisphosphonates interfere with osteoclast activity and can affect bone … czone sen matrix
Bisphosphonates: Safety and Efficacy in the Treatment and
WebDec 11, 2014 · In 2008, a Europe-wide review of bisphosphonates and atypical stress fractures concluded that alendronic acid use was associated with an increased risk of … WebApr 13, 2024 · In a retrospective study, bisphosphonates did not appear to interfere with fracture healing. Bisphosphonates interfere with osteoclast activity and can affect bone remodeling. Thus, some clinicians have expressed concern that administering these drugs too soon after an osteoporosis-related fracture could interfere with fracture healing and … WebIn the presence of a bisphosphonate-related atypical femoral fracture, the need for continued bisphosphonate therapy should be carefully reassessed. Also, imaging the contralateral femur is indicated because an incomplete asymptomatic or minimally symptomatic fracture is often present. czoo univasf