Abstract:Objective To study the pathologic fracture of primary hyperparathyroidism and the effect of the timing of operation of the prognosis of the surgical treatment for hyperparathyroidism.
Methods Analysis of the postoperative followup data of 13 hyperparathyroidic cases were analyzed.
Results The prognosis of hyperpathyroidic cases without pathologic fracture was better than cases with concurrent fracture; Orthomorphia of fracture during perioperative period of parathyroidectomy showed a good prognosis,but those who had delayed treatment of fracture owing to concern of malunion due to severe osteoporosis showed a poor prognosis.Conclusions Resection of the parathyroid gland before the appearance of pathologic fracture has a good proguosis.For those who present with associated pathologic fracture,treatment of the fracture at the time of parathyroidectomy or during the perioperative period of the parathyroidectomy are important factors that can improve the prognosis of hyperparathyroid patients.