DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT

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Elisabetta Neri, Antonio D’Arienzo, Vanna Bottai, Lorenzo Andreani, Stefano Giannotti, Rodolfo Capanna

In this paper, the authors present a case of osteo-arthtritis of the hip secondary to a septic event which was surgically treated with a hip prosthesis and complicated by intraoperative fracture due to a localized disuse osteoporosis. Disuse osteoporosis is an induced rapid bone loss in human skeleton that occurs mostly after a cord injury or muscle paralysis.  Hypodynamia can also be a risk factor for osteoporosis. In this case the author describe the onset of a femoral intraoperative fragility fracture in a 58 year old woman affected by an erosive septic osteoarthritis. Our case suggest that disuse osteoporosis presence should be diagnosed and treated before surgery to help prevent major surgical or post-operative complications beginning a pharmacological  antiresorptive treatment before the surgery.

D’Arienzo_17.pdf

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