Osteonecrosis of the jaw (ONJ) and atypical femoral fracture (AFF) in an osteoporotic patient chronically treated with bisphosphonates

Case report: A.C., female of Italian descent, age 87years, consulted in February 2013. She had a history of osteoporosis and had taken alendronate weekly for several years. She did not have densitometric studies. Due to low back pain an orthopedist had indicated i.v. zoledronic acid, 5mg/year for 3years (2006 –2008). She was on simvastatin, carvedilol, enalapril, with occasional supplements of ergocalciferol. In 2009 she suffered a fall and sustained a subtrochanteric fracture of the left femur. She was operated on and recovered uneventfully.
Source: Bone - Category: Orthopaedics Authors: Tags: C ódigo: 4 Source Type: research