Original Articles
Vol. 15 (2020)
https://doi.org/10.3269/1970-5492.2020.15.17

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

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Received: October 15 2025
Published: October 16 2025
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Authors

Elisabetta Neri
Second Orthopedic and Traumatological Clinic, University of Pisa, Pisa, Italy., Italy.
Antonio D'Arienzo
antu84@gmail.com
Second Orthopedic and Traumatological Clinic, University of Pisa, Pisa, Italy, Italy.
Vanna Bottai
Second Orthopedic and Traumatological Clinic, University of Pisa, Pisa, Italy, Italy.
Lorenzo Andreani
Second Orthopedic and Traumatological Clinic, University of Pisa, Pisa, Italy, Italy.
Stefano Giannotti
Department of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy, Italy.
Rodolfo Capanna
Second Orthopedic and Traumatological Clinic, University of Pisa, Pisa, Italy, Italy.
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

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DISUSE OSTEOPOROSIS AND HIP PROSTHESIS: SURGICAL IMPLICATIONS, A CASE REPORT. (2025). EuroMediterranean Biomedical Journal, 15. https://doi.org/10.3269/1970-5492.2020.15.17
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