Hip Pelvis.  2015 Sep;27(3):187-191. 10.5371/hp.2015.27.3.187.

Periprosthetic Atypical Femoral Fracture-like Fracture after Hip Arthroplasty: A Report of Three Cases

• Lee KJ
• Min BW
• Jang HK
• Ye HU
• Lim KH

• KMID: 2069150
• DOI: http://doi.org/10.5371/hp.2015.27.3.187

Abstract

Atypical femoral fractures are stress or insufficient fractures induced by low energy trauma or no trauma and have specific X-ray findings. Although the American Society for Bone and Mineral Research has excluded periprosthetic fractures from the definition of an atypical femoral fracture in 2013, this is still a matter of controversy because some authors report periprosthetic fractures showing specific features of atypical fractures around a well-fixed femoral stem. We report 3 cases of periprosthetic femur fractures that had specific radiographic features of atypical femoral fractures in patients with a history of prolonged bisphosphonate use; we also review relevant literature.

Keyword

Hip; Periprosthetic fractures; Atypical femoral fracture

MeSH Terms

Arthroplasty*
Femoral Fractures
Femur
Hip*
Humans
Periprosthetic Fractures