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Quality in Sport

Review of the Literature on the Impact of Teriparatide Use on Bone Healing
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  • Review of the Literature on the Impact of Teriparatide Use on Bone Healing
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  4. Medical Sciences

Review of the Literature on the Impact of Teriparatide Use on Bone Healing

Authors

  • Larysa Bielecka Uniwersytet Jagielloński Collegium Medicum https://orcid.org/0009-0000-6352-8564

DOI:

https://doi.org/10.12775/QS.2025.38.57826

Keywords

teriparatide, bone

Abstract

 

Introduction

Fractures, especially hip fractures, represent a growing health issue in aging societies. Recovery of mobility after such an injury can be prolonged and not always complete, affecting patients' quality of life. Modern medicine is exploring methods to support healing, including parathyroid hormone (PTH) therapy, which stimulates bone tissue formation, opening new perspectives in fracture treatment.

Aim of the study

The objective of this study is to review current scientific reports and summarize the existing knowledge on the impact of teriparatide supplementation on bone healing after fractures. 

Materials and Methods

A review of randomized clinical trials (RCTs) published between 2016 and 2024 regarding the impact of teriparatide use on bone healing. Four studies meeting specific selection criteria were identified.

Results

The majority of analyzed studies demonstrated that the use of teriparatide improves bone mineral density. This effect was particularly pronounced among patients with prolonged teriparatide administration. In certain studies (e.g., those by Lee SY and Huang), a faster bone healing process and improved radiographic outcomes were observed in patients receiving teriparatide. Patients undergoing teriparatide supplementation reported reduced pain perception and improved mobility compared to control groups, suggesting a positive impact of the therapy on patients' quality of life during the recovery period.

Conclusions

The use of teriparatide shows potential as an effective therapy to enhance recovery after bone fractures.

References

1. Michelson JD, Myers A, Jinnah R, Cox Q, Van Natta M. Epidemiology of hip fractures among the elderly. Risk factors for fracture type. Clin Orthop Relat Res. 1995 Feb;(311):129-35. PMID: 7634567. Koval KJ, Aharonoff GB, Rokito AS, Lyon T, Zuckerman JD. Patients with femoral neck and intertrochanteric fractures. Are they the same? Clin Orthop Relat Res. 1996 Sep;(330):166-72. doi: 10.1097/00003086-199609000-00020. PMID: 8804287.

2. Magaziner J, Hawkes W, Hebel JR, Zimmerman SI, Fox KM, Dolan M, Felsenthal G, Kenzora J. Recovery from hip fracture in eight areas of function. J Gerontol A Biol Sci Med Sci. 2000 Sep;55(9):M498-507. doi: 10.1093/gerona/55.9.m498. PMID: 10995047.

3. Alkhiary YM, Gerstenfeld LC, Krall E, Westmore M, Sato M, Mitlak BH, Einhorn TA. Enhancement of experimental fracture-healing by systemic administration of recombinant human parathyroid hormone (PTH 1-34). J Bone Joint Surg Am. 2005 Apr;87(4):731-41. doi: 10.2106/JBJS.D.02115. PMID: 15805200.

4. Skripitz R, Aspenberg P. Parathyroid hormone--a drug for orthopedic surgery? Acta Orthop Scand. 2004 Dec;75(6):654-62. doi: 10.1080/00016470410004012. PMID: 15762254.

5. Lee SY, Seo MS, Yoo JI. Effectiveness of Weekly Teriparatide Injection in Postmenopausal Patients with Hip Fractures. Clin Orthop Surg. 2023 Aug;15(4):552-559. doi: 10.4055/cios22280. Epub 2023 Feb 27. PMID: 37529188; PMCID: PMC10375812.

6. Bhandari M, Jin L, See K, Burge R, Gilchrist N, Witvrouw R, Krohn KD, Warner MR, Ahmad QI, Mitlak B. Does Teriparatide Improve Femoral Neck Fracture Healing: Results From A Randomized Placebo-controlled Trial. Clin Orthop Relat Res. 2016 May;474(5):1234-44. doi: 10.1007/s11999-015-4669-z. Epub 2016 Mar 1. PMID: 26932738; PMCID: PMC4814417.

7. Johansson T. PTH 1-34 (teriparatide) may not improve healing in proximal humerus fractures. A randomized, controlled study of 40 patients. Acta Orthop. 2016 Feb;87(1):79-82. doi: 10.3109/17453674.2015.1073050. Epub 2015 Jul 15. PMID: 26179771; PMCID: PMC4940597.

8. Huang TW, Chuang PY, Lin SJ, Lee CY, Huang KC, Shih HN, Lee MS, Hsu RW, Shen WJ. Teriparatide Improves Fracture Healing and Early Functional Recovery in the Treatment of Osteoporotic Intertrochanteric Fractures. Medicine (Baltimore). 2016 May;95(19):e3626. doi: 10.1097/MD.0000000000003626. PMID: 27175673; PMCID: PMC4902515.

9. Mancilla EE, Brodsky JL, Mehta S, Pignolo RJ, Levine MA. Teriparatide as a systemic treatment for lower extremity nonunion fractures: a case series. Endocr Pract. 2015 Feb;21(2):136-42. doi: 10.4158/EP14315.OR. PMID: 25297667.

10. Kleerekoper M, Greenspan SL, Lewiecki EM, et al. Assessing the Effects of Teriparatide Treatment on Bone Mineral Density, Bone Microarchitecture, and Bone Strength. J Bone Joint Surg Am. 2014 Jun 4;96(11):e90. doi: 10.2106/JBJS.L.01757. PMID: 24897747; PMCID: PMC6948798.

11. Bashutski JD, Eber RM, Kinney JS, et al. Teriparatide and osseous regeneration in the oral cavity. N Engl J Med. 2010 Dec 16;363(25):2396-405. doi: 10.1056/NEJMoa1005361. PMID: 20950166; PMCID: PMC5695223.]

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Published

2025-02-16

How to Cite

1.
BIELECKA, Larysa. Review of the Literature on the Impact of Teriparatide Use on Bone Healing. Quality in Sport. Online. 16 February 2025. Vol. 38, p. 57826. [Accessed 17 June 2025]. DOI 10.12775/QS.2025.38.57826.
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Issue

Vol. 38 (2025)

Section

Medical Sciences

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Copyright (c) 2025 Larysa Bielecka

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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