Korean J Bone Metab > Volume 18(2); 2011 > Article
Korean Journal of Bone Metabolism 2011;18(2):137-141.
Intermittent Parathyroid Hormone Treatment for Stimulation of Callus Formation on Distal Femoral Fracture in Elderly Patients - Case Report -
고령 환자 대퇴골 원위부 골절에서 가골 생성 촉진을 위한 부갑상선 호르몬의 간헐적 투여 - 증례 보고 -
오원택,송형근,양규현
연세대학교 의과대학 강남세브란스병원 정형외과교실
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.
Key Words: Femoral fractures, Fracture healing, Parathyroid hormone
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