Do fractures associated with bisphosphonates take longer to heal?
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/128 |
Resumo: | Introduction: Bisphosphonates have evolved as the basis for the treatment of osteoporosis, reducing the incidence of fractures. Recently, several publications have described the occurrence of atypical low-energy femur fractures associated with the use of bisphosphonates. The aim of this study was to assess the average healing time for atypical femur fractures associated with bisphosphonate treatment compared to a control group. Materials and methods: We retrospectively evaluated 34 women (mean age 74 years) with atypical fractures; 16 of them had received bisphosphonates for at least five years. They were treated between 2006 and 2017 and stabilized with a cephalomedullary nail. This group was compared to a control group with similar characteristics. Results: Twenty-two had subtrochanteric fractures and 12 had diaphyseal fractures. 14% of those who took bisphosphonates and underwent surgery needed a review compared to 5.5% of the control group. The mean consolidation time was longer in those treated with bisphosphonates (8.5 vs. 6 months), with a statistically significant difference (p <0.001). Conclusions: The benefit of treatment with bisphosphonates in preventing fractures is greater than the risk of atypical fractures; however, it is important to assess the risk-benefit ratio of each patient at the beginning and during treatment, remembering that, despite this, the healing time is longer. |
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Brazilian Journal of Implantology and Health Sciences |
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Do fractures associated with bisphosphonates take longer to heal?As fraturas associadas aos bifosfonatos demoram mais para cicatrizar?OsteoporoseFraturas atípicas do fêmurBisfosfonatosBisphosphonates; Atypical fractures of the femur; Osteoporosis.Introduction: Bisphosphonates have evolved as the basis for the treatment of osteoporosis, reducing the incidence of fractures. Recently, several publications have described the occurrence of atypical low-energy femur fractures associated with the use of bisphosphonates. The aim of this study was to assess the average healing time for atypical femur fractures associated with bisphosphonate treatment compared to a control group. Materials and methods: We retrospectively evaluated 34 women (mean age 74 years) with atypical fractures; 16 of them had received bisphosphonates for at least five years. They were treated between 2006 and 2017 and stabilized with a cephalomedullary nail. This group was compared to a control group with similar characteristics. Results: Twenty-two had subtrochanteric fractures and 12 had diaphyseal fractures. 14% of those who took bisphosphonates and underwent surgery needed a review compared to 5.5% of the control group. The mean consolidation time was longer in those treated with bisphosphonates (8.5 vs. 6 months), with a statistically significant difference (p <0.001). Conclusions: The benefit of treatment with bisphosphonates in preventing fractures is greater than the risk of atypical fractures; however, it is important to assess the risk-benefit ratio of each patient at the beginning and during treatment, remembering that, despite this, the healing time is longer.Introdução: Os bisfosfonatos evoluíram como a base para o tratamento da osteoporose, reduzindo a incidência de fraturas. Recentemente, várias publicações descreveram a ocorrência de fraturas de fêmur atípicas de baixa energia associadas ao uso de bifosfonatos. O objetivo deste estudo foi avaliar o tempo médio de cicatrização de fraturas atípicas de fêmur associadas ao tratamento com bifosfonatos em comparação com um grupo controle. Materiais e métodos: Avaliamos retrospectivamente 34 mulheres (idade média de 74 anos) com fraturas atípicas; 16 deles haviam recebido bisfosfonatos por pelo menos cinco anos. Foram tratados entre 2006 e 2017 e estabilizados com haste cefalomedular. Este grupo foi comparado a um grupo controle com características semelhantes. Resultados: Vinte e dois tiveram fraturas subtrocantéricas e 12 tiveram fraturas diafisárias. 14% daqueles que tomaram bifosfonatos e foram submetidos à cirurgia necessitaram de uma revisão em comparação com 5,5% do grupo de controle. O tempo médio de consolidação foi maior nos tratados com bifosfonatos (8,5 vs. 6 meses), com diferença estatisticamente significativa (p <0,001). Conclusões:O benefício do tratamento com bisfosfonatos na prevenção de fraturas é maior do que o risco de fraturas atípicas; entretanto, é importante avaliar a relação risco-benefício de cada paciente no início e durante o tratamento, lembrando que, apesar disso, o tempo de cicatrização é maior.Specialized Dentistry Group2020-10-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/12810.36557/2674-8169.2020v2n11p12-23Brazilian Journal of Implantology and Health Sciences ; Vol. 2 No. 11 (2020): October; 12-23Brazilian Journal of Implantology and Health Sciences ; Vol. 2 Núm. 11 (2020): Outubro; 12-23Brazilian Journal of Implantology and Health Sciences ; v. 2 n. 11 (2020): Outubro; 12-232674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/128/177Copyright (c) 2020 Cassio Mendes Cunha , Elzebio Marques Bandeira, Maria Claudia Maia Juareshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMendes Cunha , Cassio Marques Bandeira, Elzebio Maia Juares, Maria Claudia 2020-11-22T21:31:09Zoai:ojs.bjihs.emnuvens.com.br:article/128Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2020-11-22T21:31:09Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Do fractures associated with bisphosphonates take longer to heal? As fraturas associadas aos bifosfonatos demoram mais para cicatrizar? |
title |
Do fractures associated with bisphosphonates take longer to heal? |
spellingShingle |
Do fractures associated with bisphosphonates take longer to heal? Mendes Cunha , Cassio Osteoporose Fraturas atípicas do fêmur Bisfosfonatos Bisphosphonates; Atypical fractures of the femur; Osteoporosis. |
title_short |
Do fractures associated with bisphosphonates take longer to heal? |
title_full |
Do fractures associated with bisphosphonates take longer to heal? |
title_fullStr |
Do fractures associated with bisphosphonates take longer to heal? |
title_full_unstemmed |
Do fractures associated with bisphosphonates take longer to heal? |
title_sort |
Do fractures associated with bisphosphonates take longer to heal? |
author |
Mendes Cunha , Cassio |
author_facet |
Mendes Cunha , Cassio Marques Bandeira, Elzebio Maia Juares, Maria Claudia |
author_role |
author |
author2 |
Marques Bandeira, Elzebio Maia Juares, Maria Claudia |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Mendes Cunha , Cassio Marques Bandeira, Elzebio Maia Juares, Maria Claudia |
dc.subject.por.fl_str_mv |
Osteoporose Fraturas atípicas do fêmur Bisfosfonatos Bisphosphonates; Atypical fractures of the femur; Osteoporosis. |
topic |
Osteoporose Fraturas atípicas do fêmur Bisfosfonatos Bisphosphonates; Atypical fractures of the femur; Osteoporosis. |
description |
Introduction: Bisphosphonates have evolved as the basis for the treatment of osteoporosis, reducing the incidence of fractures. Recently, several publications have described the occurrence of atypical low-energy femur fractures associated with the use of bisphosphonates. The aim of this study was to assess the average healing time for atypical femur fractures associated with bisphosphonate treatment compared to a control group. Materials and methods: We retrospectively evaluated 34 women (mean age 74 years) with atypical fractures; 16 of them had received bisphosphonates for at least five years. They were treated between 2006 and 2017 and stabilized with a cephalomedullary nail. This group was compared to a control group with similar characteristics. Results: Twenty-two had subtrochanteric fractures and 12 had diaphyseal fractures. 14% of those who took bisphosphonates and underwent surgery needed a review compared to 5.5% of the control group. The mean consolidation time was longer in those treated with bisphosphonates (8.5 vs. 6 months), with a statistically significant difference (p <0.001). Conclusions: The benefit of treatment with bisphosphonates in preventing fractures is greater than the risk of atypical fractures; however, it is important to assess the risk-benefit ratio of each patient at the beginning and during treatment, remembering that, despite this, the healing time is longer. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-10-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/128 10.36557/2674-8169.2020v2n11p12-23 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/128 |
identifier_str_mv |
10.36557/2674-8169.2020v2n11p12-23 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/128/177 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Cassio Mendes Cunha , Elzebio Marques Bandeira, Maria Claudia Maia Juares https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Cassio Mendes Cunha , Elzebio Marques Bandeira, Maria Claudia Maia Juares https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 2 No. 11 (2020): October; 12-23 Brazilian Journal of Implantology and Health Sciences ; Vol. 2 Núm. 11 (2020): Outubro; 12-23 Brazilian Journal of Implantology and Health Sciences ; v. 2 n. 11 (2020): Outubro; 12-23 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798448314351616 |