Effect of Teriparatide (CinnoPar®) in Treatment of Non::union:: Bone Fractures

Authors

  • Ghafari, Salman Associate Professor, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  • Janbabaei, Ghasem Associate Professor, Department of Hematology and Oncology, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  • Kazemi, Abolfazle Resident in Orthopedic Surgery, Orthopedic Research center, Mazandaran University of Medical Sciences, Sari, Iran
  • Mahdavi, Sara Medical Student, Student research committee, Mazandaran University of medical sciences, Sari, Iran
  • Razavipour, Mehran Assistant professor of orthopedic surgery, Orthopedic research center, Mazandaran University of Medical Science, Sari, Iran
  • Sadeghian, Iman Resident in Orthopedic Surgery, Orthopedic Research center, Mazandaran University of Medical Sciences, Sari, Iran
  • Shayestehazar, Masoud Associate Professor, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:

Background and purpose: Non::union:: of bone fracture is a clinical and treatment challenge. Satisfactory repair of orthopedic fractures is of great importance and systemic treatment is used to achieve this goal. This study aimed to investigate the effect of Teriparatide (CinnoPar®) on non::union:: fractures. Materials and methods: A quasi-experimental study was conducted in 17 patients with non::union:: bone fractures. Radiographic evaluation was performed before the intervention and non::union:: was confirmed by a radiologist. Then, all patients received Teriparatide for three months. Afterwards, a control x-ray image was taken to assess the outcome. Results: Sixteen patients (mean age: 45.18±20.51) with non::union:: fracture were evaluated, including nine males and seven females. The mean time after the accident was 50 ±24.48 weeks. Femoral bone was the most reported impaired site (n=8). After treatment with Teriparatide (CinnoPar®) improvements were seen in 10 patients (P= 0.002).   Conclusion: Treatment with CinnoPar® was found to be effective to some extent. However, due to the small sample size in this study, the efficacy of CinnoPar® needs further assessments.  

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Journal title

volume 29  issue 173

pages  75- 82

publication date 2019-06

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