Shoulder periprosthetic fracture in elderly patient: a minimally invasive osteosynthesis and "off-label" treatment with teriparatide. A case report and literature review

A case of shoulder periprosthetic fracture in elderly patient. The patient underwent a minimally invasive osteosynthesis and "off-label" treatment with teriparatide. An 80-year-old woman patient following an accidental fall reported a transverse displaced diaphyseal fracture of the right h...

Full description

Saved in:
Bibliographic Details
Published inJournal of biological regulators and homeostatic agents Vol. 33; no. 2 Suppl. 1; p. 57
Main Authors Ippolito, G, Ferraro, S, Zitiello, M, Bonacci, E, Garro, L, Surace, M F, D'angelo, F, De Marinis, G
Format Journal Article
LanguageEnglish
Published Italy 01.03.2019
Subjects
Aged, 80 and over
Female
Fracture Fixation, Internal
Fracture Healing
Humans
Minimally Invasive Surgical Procedures
Off-Label Use
Periprosthetic Fractures - surgery
Periprosthetic Fractures - therapy
Shoulder - surgery
Shoulder Injuries - surgery
Shoulder Injuries - therapy
Teriparatide - therapeutic use
periprosthetic fracture
minimally invasive
teriparatide
fracture healing
Online AccessGet more information

Cover

More Information
Summary:A case of shoulder periprosthetic fracture in elderly patient. The patient underwent a minimally invasive osteosynthesis and "off-label" treatment with teriparatide. An 80-year-old woman patient following an accidental fall reported a transverse displaced diaphyseal fracture of the right humerus, distal to the stem of the inverse prosthesis. The patient suffering from severe osteoporosis and chronic ischaemic heart disease. The patient underwent fracture osteosynthesis surgery using a Hoffmann III mono-axial external fixator. Teriparatide administered at a dosage of 20 micrograms/day, for four months. At six months from the beginning of th e hybrid treatment, a complete healing of the fracture was observed radiologically and clinically. It is possible to affirm that the use of teriparatide off-label has a positive and additive effect in promoting the healing of fractures.
ISSN:0393-974X