Ann Geriatr Med Res.
2020 Mar;24(1):50-54. 10.4235/agmr.19.0046.
Management Challenges in Atypical Femoral Fractures: A Case Report
- Affiliations
-
- 1Department of Rehabilitation and Aged Care, Sir Charles Gairdner Hospital, North Metropolitan Health Service, Perth, Australia
- 2School of Medicine, University of Western Australia, Crawley, Perth, Australia
- KMID: 2501027
- DOI: http://doi.org/10.4235/agmr.19.0046
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 infection, 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 fractures.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Periprosthetic Atypical Femoral Fracture-like Fracture after Hip Arthroplasty: A Report of Three Cases
- Epidemiology and Clinical Features of Atypical Femoral Fractures
- Surgical Treatment of the Atypical Femoral Fracture: Overcoming Femoral Bowing
- Surgical Outcomes of Atypical Femoral Fracture
- Pathogenesis, Management and Prevention of Atypical Femoral Fractures
