Korean J Bone Metab.  2011 Nov;18(2):137-141.

Intermittent Parathyroid Hormone Treatment for Stimulation of Callus Formation on Distal Femoral Fracture in Elderly Patients: Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Gangnam Severance Hospital, Seoul, Korea. kyang@yuhs.ac

Abstract

Fracture healing is the ongoing process but it is often delayed in elderly patients. Because the fractures in elderly patients with osteoporosis are severely comminuted and their quality of bone is poor, the associated delay of fracture healing is likely to lead to surgical failure. Recently, as a way to promote healing fractures, intermittent systemic parathyroid hormone treatment has been actively researched. Although the effect of parathyroid hormone, which is demonstrated by animal experiments, is well known, there are not many clinical applications. The authors report 2 cases which had the time-shortened callus formation by intermittent parathyroid hormone (teriparatide) administration after surgical treatment, maximum preservation of periosteum as possible, in elderly patients who have supracondylar fracture on distal femur.

Keyword

Femoral fractures; Fracture healing; Parathyroid hormone

MeSH Terms

Aged
Animal Experimentation
Bony Callus
Femoral Fractures
Femur
Fracture Healing
Humans
Osteoporosis
Parathyroid Hormone
Periosteum
Parathyroid Hormone
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