A series of left anteroposterior tibial radiographs from a 74-yr-old man with Paget's disease of bone in the left tibia. (A) The patient's tenth fracture; note chalk stick nature. The fracture did not heal with casting over 6 months. (B) The patient underwent tibial straightening with two osteotomies. He also wore an Ilizarov external fixation device for 1 yr and received 6 months of alendronate 40 mg daily. (C) The left tibia is much straighter. The patient now walks with a clamshell leg brace. Source: Chapter 111. Hyperparathyroidism and Paget's Disease of Bone, Hazzard's Geriatric Medicine and Gerontology, 6e Citation: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. Hazzard's Geriatric Medicine and Gerontology, 6e; 2009 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/halt6/halt6_c111f004b.jpg&sec=41598711&BookID=371&ChapterSecID=41587732&imagename= Accessed: December 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved