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Research ArticleOriginal Article
Open Access

Long-term use of bisphosphonates in osteoporosis

Basmah K. Alwahhabi and Basil A. Alsuwaine
Saudi Medical Journal June 2017, 38 (6) 604-608; DOI: https://doi.org/10.15537/smj.2017.6.19793
Basmah K. Alwahhabi
From the Department of Endocrinology and Diabetes (Alwahhabi), Prince Sultan Military Medical City and the College of Medicine (Alsuwaine), King Saud University, Riyadh, Kingdom of Saudi Arabia
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  • For correspondence: [email protected]
Basil A. Alsuwaine
From the Department of Endocrinology and Diabetes (Alwahhabi), Prince Sultan Military Medical City and the College of Medicine (Alsuwaine), King Saud University, Riyadh, Kingdom of Saudi Arabia
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    Figure 1

    X-rays of 15 patients with atypical fracture femoral: A) transverse fracture of mid femoral shaft with intramedullary nailing, B) transverse fracture of mid femoral shaft with intramedullary nailing and atrophic non-union 10 months after the fracture, C) greenstick fracture of mid femoral shaft, D) displaced oblique fracture of mid femoral shaft, callus formation around the fracture site, with plate, E) comminuted fracture of distal femoral shaft with non-union 9 months after plate fixation, F) hemiarthroplasty in a comminuted proximal hip fracture, G) comminuted mid shaft fracture with wires and non-union 10 months after the fracture. H) displaced comminuted fracture of distal femoral shaft after intramedullary nailing. I) non-union comminuted fracture of proximal femoral shaft with intramedullary nailing. J) transverse displaced fracture of mid shaft in a patient with old operated hip fracture, K) comminuted fracture of distal femoral shaft fixed with a plate in a patient with knee replacement, L) Greenstick fracture of mid shaft with hypertrophid union after intramedullary fixation, M) Greenstick fracture of mid shaft with non union after intramedullary fixation in a patient with knee replacement, N) displaced transverse fracture of mid femoral shaft, O) spiral fracture of proximal femoral shaft.

  • Figure 2
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    Figure 2

    X-ray showing A) transverse fracture of upper tibia with non-union one year after fracture, B) comminuted fracture of fibuls, and C) & D) greenstick fractures of lower tibia.

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    Figure 3

    X-ray showing A) acute spontaneous pelvic fracture in a 66 years old lady who used alendronate for 15 years, B) non-union of pelvic fracture after one year, and C) healing of pelvic fracture after 2 years of teriparatide.

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    Figure 4

    X-ray of a 70-year-old lady with rheumatoid arthritis after 4 years of aclasta. It shows old fracture of right femoral head, intramedullary nailing, recent transverse fracture (greenstick) of femoral shaft and clear cortical thickening.

  • Figure 5
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    Figure 5

    X-ray femur of a 66 years old lady complaining of chronic severe thigh pain after receiving alendronate for 10 years. It shows marked cortical thickening.

  • Figure 6
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    Figure 6

    X-ray ray showing A) left displaced fracture of mid femoral shaft with non-union six months after surgery and B) healing of the fracture after 2 years of teriparatide. Screw are removed.

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Saudi Medical Journal: 38 (6)
Saudi Medical Journal
Vol. 38, Issue 6
1 Jun 2017
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Long-term use of bisphosphonates in osteoporosis
Basmah K. Alwahhabi, Basil A. Alsuwaine
Saudi Medical Journal Jun 2017, 38 (6) 604-608; DOI: 10.15537/smj.2017.6.19793

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Long-term use of bisphosphonates in osteoporosis
Basmah K. Alwahhabi, Basil A. Alsuwaine
Saudi Medical Journal Jun 2017, 38 (6) 604-608; DOI: 10.15537/smj.2017.6.19793
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