Do fractures associated with bisphosphonates take longer to heal?

Detalhes bibliográficos
Autor(a) principal: Mendes Cunha , Cassio
Data de Publicação: 2020
Outros Autores: Marques Bandeira, Elzebio, Maia Juares, Maria Claudia
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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spelling 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
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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)
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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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