Volume 6, 2020
|Number of page(s)||3|
|Published online||28 August 2020|
Bilateral subtrochanteric insufficiency fracture following mini-gastric bypass. A case report
Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University School of Medicine, P.O. Box 11-3288, Beirut, Lebanon
2 The Center for Evidence-Based Anatomy, Sports & Orthopedic Research, Dubai, United Arab Emirates
3 Department of General Surgery, Lebanese American University Medical Center-Rizk Hospital, Beirut, and Middle East Institute of Health, Bsalim, Lebanon
* Corresponding author: email@example.com
Accepted: 14 August 2020
Insufficiency fractures are a common complication of bisphosphonate use and have recently been reported in association with Roux-en-Y Gastric Bypass Surgery (RYGB). This study reports a case of a 62-year-old female, 6 years status post Mini Gastric Bypass – One Anastomosis Gastric Bypass (MGB-OAGB), presenting to our institution with bilateral groin pain of 8 months duration unresponsive to conservative management. Diagnostic workup revealed bilateral medial sub-trochanteric insufficiency fractures. She underwent bilateral intramedullary fixation with satisfactory results. This case might suggest a particular fracture pattern in patients undergoing MGB-OAGB, and raises awareness to screen patients with such presentation to rule out a fracture or to prevent the extension of an existing one.
Key words: Insufficiency fracture / Mini-bypass bariatric surgery / Vitamin D
© The Authors, published by EDP Sciences, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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