We present a case of 78 year old female, who was treated orally with ibandronic acid. It is widely accepted drug, used in osteoporosis treatment. After several months, she started to suffer because of thigh pain. She was diagnosed with impending atypical femoral fracture after following diagnostic protocol. Immediate discontinuation of further drug use and limited weight bearing on affected extremity, led to clinical improvement and pain relief. The patient avoided complete femoral fracture. The regression of changes was proved in SPECT (single-photon emission computed tomography).
Calcaneal fracture has always posed a diagnostic and therapeutic problem. A thorough knowledge of the morphology of fracture, correct time to begin treatment and minimally-invasive surgery that allows for early physical mobilization of the operated limb are of critical importance in the treatment of calcaneal fractures. We operated a male patient with a high-impact injury with the use of a low-invasive, our original and modified method ensuring early kinesitherapy and achieved a good functional outcome of treatment.
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