TY - JOUR
T1 - Management challenges in atypical femoral fractures
T2 - A case report
AU - Golsorkhtabaramiri, Mohammad
AU - Inderjeeth, Charles A.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - 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.
AB - 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.
KW - Bisphosphonate
KW - Femoral fractures
KW - Osteoporosis
UR - http://www.scopus.com/inward/record.url?scp=85083826686&partnerID=8YFLogxK
U2 - 10.4235/agmr.19.0046
DO - 10.4235/agmr.19.0046
M3 - Article
C2 - 32743322
AN - SCOPUS:85083826686
SN - 2508-4798
VL - 24
SP - 50
EP - 54
JO - Annals of geriatric medicine and research
JF - Annals of geriatric medicine and research
IS - 1
ER -