Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Osteoporosis
Abstract number: 23702
THE RISK FACTORS OF FEMUR SHAFT INSUFFICIENCY FRACTURE
SangWook LEE, SangBong KO
Daegu Catholic University Medical Center, Daegu (KOREA)
Purpose: To characterize the relationship of femur shaft insufficiency fracture which
has been issued recently and the long-term administration of osteoporosis
medication, and to examine the presence of other risk factors of femur shaft
insufficiency fracture. Materials and Methods: The 16 patients consisted of 2 males
(12.5%) and 14 females (87.5%) were treated for insufficiency fracture from July
2002 to June 2008, excluding the other risk factors. Their mean age was 76.13±7.71
(65-89) years and the mean follow up period was 50.6 months (14-86months).
Results: The average weight was 45.93 ± 8.32, it was statistically significantly lower
than the average weight of Koreans in the same age group (p=0.000), and similarly,
the mean height was 148.4 ± 8.235, which was shorter than the average height of
Koreans in the same age group (p=0.003). Among insufficiency fracture patients, 14
postmenopausal women excluding 2 males had the past history of osteoporosis and
the experience of osteoporosis medications. In 5 patients underwent surgical
treatment, additional treatments were required for delayed union and nonunion,
nevertheless, bone union were obtained eventually from all 12 patients.Conclusion :
Early menopausal, underweighted and short patients who prescribed osteoporosis
medication for a long time, if prodromal symptoms such as thigh or inguinal pain is
present, it is necessary to suspect femur shaft insufficiency fracture and to perform
simple radiographs of femoral shaft or bone scan, and more aggressive treatments
for fracture are required.
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