From: Hypophosphatasia and the risk of atypical femur fractures: a case–control study
Atypical femur fracture | Control | P value | |
---|---|---|---|
Number of patients | 10 | 13 | |
Mean age in years (range) | 71 (68–79) | 68 (62–84) | 0.27 |
Female (%) | 9/10 (90 %) | 10/13 (77 %) | 0.45 |
Bisphosphonate used | |||
Alendronate | 7 (70 %) | 10 (77 %) | 0.68 |
Ibandronate | 2 (20 %) | 3 (23 %) | |
Risendronate | 1 (10 %) | 0 | |
Proportion of patients with Vitamin D supplementation (%) | 6/10 (60 %) | 6/13 (46 %) | 0.68 |
Mean years of bisphosphonate use (range) | 9.2 (5–13) | 8.8 (5–20) | 0.79 |
Mean years since bisphosphonates stopped | 3.6 (1–5) | 2.0 (1–4)a | 0.65 |
Mean alkaline phosphatase in U/L (range)c | 58 (37–73) | 56 (38–74) | 0.81 |
Proportion of patients with abnormal alkaline phosphatase (below 50 U/L) | 5/10 (40 %) | 5/13 (38 %) | |
Mean pyridoxal 5’ phosphate (PLP) in mcg/Ld | 29.8 (5–44) | 20.6 (5–118) | 0.37 |
Mean neck-shaft angle degrees (S.D.) | 132 (3.1) | 136 (5.2) | 0.048 |
Mechanical axis angle degreesb (S.D.) | −0.71 (5.0) | −0.15 (2.7) | 0.76 |
Lateral distal femoral angle degrees (S.D.) | 90.7 (5.0) | 90.2 (2.7) | 0.76 |