Corrective osteotomy in femoral non-union in drug-induced hypophosphataemic osteomalacia. (14th March 2014)

• Record Type: Journal Article
• Authors: Sit, Yan Kit; Lui, Tun Hing
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-03-14
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-201269
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Adefovir/tenofovir are commonly used antiviral agents in the treatment of chronic hepatitis B infection (CHB). We report a case of CHB-related cirrhosis presenting with sequential femoral neck fractures. Operative reduction and fixation was performed. Laboratory result and imaging was consistent with hypophosphataemic osteomalacia. He had bilateral femoral neck non-union and presented with a new left side subtrochanteric femoral fracture. Corrective osteotomy and cephalomedullary fixation was performed. The fractures healed in 6 months after correction of the hypophosphataemia.