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The Second Most Common Bone Disease: A Review on Paget’s Disease of Bone

  • Focus on Osteoporosis and Paget’s Disease
  • Published:
European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Paget disease of bone (PDB) is the second most common metabolic bone disease. It is a chronic disease with a mono- or polyostotic appearance that is characterized by an increased bone turnover. The orthopedic surgeon is often confronted with such symptoms and complications as bone pain, skeletal deformities, and pathologic fractures caused by the “out-of-balance bone remodeling process”. Careful evaluation of the clinical and radiographic findings is necessary to determine whether treatment of PDB is indicated. The mode of action of effective pharmacological treatments consists of reducing the increase in osteoclast-mediated bone resorption that characterizes the disease. Bisphosphonates are the compounds of choice for PDB therapy; these are readily available and have received approval. Patients with PDB are at increased risk for surgical complications, such as blood loss and heterotopic bone formation, if operative treatment is necessary. However, advances in surgical techniques and accompanying medical treatment could potentially improve the overall outcome of these patients. To achieve that goal, careful perioperative interdisciplinary management and monitoring are essential.

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Authors and Affiliations

  1. Department of Trauma, Hand and Reconstructive Surgery, Center for Biomechanics and Skeletal Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Johannes M. Rueger

  2. Department of Trauma, Hand, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany

    Sebastian Seitz MD

Authors
  1. Sebastian Seitz MD
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  2. Matthias Priemel
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  3. Christoph von Domarus
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  4. F. Timo Beil
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  5. Florian Barvencik
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  6. Michael Amling
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  7. Johannes M. Rueger
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Corresponding author

Correspondence to Sebastian Seitz MD.

Additional information

S. Seitz and M. Priemel have contributed equally to this work.

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Seitz, S., Priemel, M., von Domarus, C. et al. The Second Most Common Bone Disease: A Review on Paget’s Disease of Bone. Eur J Trauma Emerg Surg 34, 549–553 (2008). https://doi.org/10.1007/s00068-008-8208-4

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  • DOI: https://doi.org/10.1007/s00068-008-8208-4

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