Evidence map›Paper›PMID 19198962›Full record

ArticleClinical orthopaedics and related research2009

Case reports: two femoral insufficiency fractures after long-term alendronate therapy.

Arkan S Sayed-Noor, Göran O Sjödén

Open access · greenAbstract readCase Reports
In one paragraph

Article in Clinical orthopaedics and related research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Delayed healing of lower limb fractures with bisphosphonate therapy.Annals of the Royal College of Surgeons of England · 2015
    Pooled it
  2. Long-term administration of quarterly IV ibandronate is effective and well tolerated in postmenopausal osteoporosis: 5-year data from the DIVA study long-term extension.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Trial
  3. Article
  4. Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem.Geriatric orthopaedic surgery & rehabilitation · 2023
    Article
  5. Atypical periprosthetic femoral fracture with stem breakage: a case report.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  6. Article
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  9. Review
  10. Denosumab-Associated Peri-Implant Atypical Femur Fracture: A Case Report.Hawai'i journal of health & social welfare · 2019
    Article
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  17. Review
  18. Article
  19. Atypical bilateral femoral shaft fracture in patient treated with bisphosphonates.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 2 countries.

Arkan S Sayed-NoorDepartment of Orthopaedic Surgery, Sundsvall Hospital, 851 86 Sundsvall, Sweden. arkansam@yahoo.com
Göran O Sjödén
Sundsvall Municipality · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bisphosphonates are widely used for treatment of postmenopausal osteoporosis. Although short-term safety and efficacy of these drugs have been investigated and documented, an increasing number of recent reports draw attention to the possible correlation between long-term alendronate therapy and the occurrence of insufficiency fractures in the proximal femur owing to what is known as severely suppressed bone turnover. We describe two femoral insufficiency fractures in two women receiving long-term alendronate therapy. The first woman sustained a periprosthetic fracture at the tip of the femoral stem whereas the other woman had a fracture in the subtrochanteric region. We analyze the characteristics and natural course of these two unique fractures, and emphasize the importance of being aware of the possible correlation between long-term alendronate therapy and insufficiency femoral fractures.

Indexed as

AgedAlendronateArthroplasty, Replacement, HipBone Density Conservation AgentsBone NailsBone RemodelingFemaleFemoral FracturesHumansMiddle AgedOsteoporosis, PostmenopausalRadiographyAlendronateBone Density Conservation Agents

Identifiers

PMID19198962
PMCPMC2690746
OpenAlexW2059795478

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.