2022
DOI: 10.2106/jbjs.cc.22.00024
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Osteoanabolic Treatment with Teriparatide for Pathological Stress Transfer After Total Hip Arthroplasty

Abstract: Case: Total hip arthroplasty with an uncemented, tapered, fluted stem was performed in a 79-year-old woman with known osteoporosis to treat an intertrochanteric fracture. Exertional thigh pain and cortical thickening developed at the tip of the stem. The patient was treated with teriparatide for a total of 2 years and became asymptomatic within months. Radiographs showed improved bone quality around the stem of the prosthesis, and dual-energy x-ray absorptiometry scans confirmed remineralization. … Show more

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