Spontaneous bilateral subcapital hip fracture due to multiple myeloma: an 18-month follow-up.
We present a rare case of bilateral subcapital hip fracture as a first sign of multiple myeloma in a young man. Right femoral neck fracture was treated by three Asnis screws and the left one by hemiarthroplasty. In order to avoid implant failure, we used zoledronic acid, a bisphosphonate compound, instead of methacrylate cement. After an 18-month follow-up, there was no evidence of avascular necrosis, no implant failure and no periprothetic fracture.
Mouzopoulos
G
G
1st Orthopaedic Department of Evangelismos Hospital, Athens, Greece. gmouzop@yahoo.gr
Stamatakos
M
M
Kouvaris
C
C
Mouzopoulos
D
D
Tzurbakis
M
M
D000328:Adult; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000150:complications* / Q000601:surgery; D004164:Diphosphonates / Q000627:therapeutic use; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007093:Imidazoles / Q000627:therapeutic use; D008297:Male; D009101:Multiple Myeloma / Q000150:complications*; D011859:Radiography; D000077211:Zoledronic Acid
D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D007093:Imidazoles; D000077211:Zoledronic Acid