Management challenges in atypical femoral fractures: A case report

Mohammad Golsorkhtabaramiri, Charles A. Inderjeeth

Research output: Contribution to journalArticle

Abstract

A 78-year-old woman presented with an atypical femoral fracture of her right femur associated with a left thigh stress fracture following 9 years of bisphosphonate therapy. The fracture was managed with femoral nailing. However, she represented 3 years later with peri-prosthetic infec-tion, worsening of the left-side stress fracture, and low bone turnover in a bone metabolic study, consistent with an ongoing bisphosphonate effect. This case highlights the increased rate of postoperative complications in atypical femoral fractures even years after surgery as well as the challenging management issues for contralateral fracture and the risk of missing bilateral frac-tures.

Original languageEnglish
Pages (from-to)50-54
Number of pages5
JournalAnnals of geriatric medicine and research
Volume24
Issue number1
DOIs
Publication statusPublished - 1 Jan 2020

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