Management Challenges in Atypical Femoral Fractures: A Case Report
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...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korea Geriatrics Society
2020-03-01
|
| Series: | Annals of Geriatric Medicine and Research |
| Subjects: | |
| Online Access: | http://www.e-agmr.org/upload/pdf/agmr-19-0046.pdf |
| _version_ | 1818246748477325312 |
|---|---|
| author | Mohammad Golsorkhtabaramiri Charles A. Inderjeeth |
| author_facet | Mohammad Golsorkhtabaramiri Charles A. Inderjeeth |
| author_sort | Mohammad Golsorkhtabaramiri |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T14:53:44Z |
| format | Article |
| id | doaj.art-8014d380518f40c4b19d80cf3065d459 |
| institution | Directory Open Access Journal |
| issn | 2508-4798 2508-4909 |
| language | English |
| last_indexed | 2024-12-12T14:53:44Z |
| publishDate | 2020-03-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj.art-8014d380518f40c4b19d80cf3065d4592022-12-22T00:20:57ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092020-03-01241505410.4235/agmr.19.0046903Management Challenges in Atypical Femoral Fractures: A Case ReportMohammad Golsorkhtabaramiri0Charles A. Inderjeeth1 Department of Rehabilitation and Aged Care, Sir Charles Gairdner Hospital, North Metropolitan Health Service, Perth, Australia School of Medicine, University of Western Australia, Crawley, Perth, AustraliaA 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.http://www.e-agmr.org/upload/pdf/agmr-19-0046.pdfbisphosphonateosteoporosisfemoral fractures |
| spellingShingle | Mohammad Golsorkhtabaramiri Charles A. Inderjeeth Management Challenges in Atypical Femoral Fractures: A Case Report Annals of Geriatric Medicine and Research bisphosphonate osteoporosis femoral fractures |
| title | Management Challenges in Atypical Femoral Fractures: A Case Report |
| title_full | Management Challenges in Atypical Femoral Fractures: A Case Report |
| title_fullStr | Management Challenges in Atypical Femoral Fractures: A Case Report |
| title_full_unstemmed | Management Challenges in Atypical Femoral Fractures: A Case Report |
| title_short | Management Challenges in Atypical Femoral Fractures: A Case Report |
| title_sort | management challenges in atypical femoral fractures a case report |
| topic | bisphosphonate osteoporosis femoral fractures |
| url | http://www.e-agmr.org/upload/pdf/agmr-19-0046.pdf |
| work_keys_str_mv | AT mohammadgolsorkhtabaramiri managementchallengesinatypicalfemoralfracturesacasereport AT charlesainderjeeth managementchallengesinatypicalfemoralfracturesacasereport |