Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem
Atypical femoral fractures (AFF) are stress or insufficiency fractures induced by low energy trauma or no trauma, frequently correlated with prolonged bisphosphonate therapy. The diagnosis follows major and minor criteria, originally described by the Task Force of the American Society for Bone and M...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-12-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/21514593221145884 |
| _version_ | 1797868088956289024 |
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| author | Giovanni Vicenti Giuseppe Solarino Guglielmo Ottaviani Massimiliano Carrozzo Filippo Simone Giacomo Zavattini Domenico Zaccari Claudio Buono Davide Bizzoca Giuseppe Maccagnano Biagio Moretti |
| author_facet | Giovanni Vicenti Giuseppe Solarino Guglielmo Ottaviani Massimiliano Carrozzo Filippo Simone Giacomo Zavattini Domenico Zaccari Claudio Buono Davide Bizzoca Giuseppe Maccagnano Biagio Moretti |
| author_sort | Giovanni Vicenti |
| collection | DOAJ |
| description | Atypical femoral fractures (AFF) are stress or insufficiency fractures induced by low energy trauma or no trauma, frequently correlated with prolonged bisphosphonate therapy. The diagnosis follows major and minor criteria, originally described by the Task Force of the American Society for Bone and Mineral Research in 2010 and updated in 2014. However, the definition of AFFs in the report excluded periprosthetic fractures. When atypical fractures occur close to a prosthetic implant the situation become critical, the surgical treatment is often demolitive and supported by medical treatment. Moreover, acute ORIF as a first line treatment is frequently burdened by a high failure rate , and often a stem revision is required as second line treatment. The healing process is long and difficult with poor functional results and impairing outcomes. We present a case treated at our institution of a 78 year old woman with a history of a femoral atypical periprosthetic fracture, complicated by multiple surgical revisions. Its arduous management reflects all the difficulties that these type of fractures could present to the surgeon, while its good final result may teach us how to approach them in a correct way. |
| first_indexed | 2024-04-09T23:50:32Z |
| format | Article |
| id | doaj.art-9b95c34e854748508f1b303650561ba8 |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-04-09T23:50:32Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-9b95c34e854748508f1b303650561ba82023-03-17T11:03:56ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932023-12-011410.1177/21514593221145884Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved ProblemGiovanni VicentiGiuseppe SolarinoGuglielmo OttavianiMassimiliano CarrozzoFilippo SimoneGiacomo ZavattiniDomenico ZaccariClaudio BuonoDavide BizzocaGiuseppe MaccagnanoBiagio MorettiAtypical femoral fractures (AFF) are stress or insufficiency fractures induced by low energy trauma or no trauma, frequently correlated with prolonged bisphosphonate therapy. The diagnosis follows major and minor criteria, originally described by the Task Force of the American Society for Bone and Mineral Research in 2010 and updated in 2014. However, the definition of AFFs in the report excluded periprosthetic fractures. When atypical fractures occur close to a prosthetic implant the situation become critical, the surgical treatment is often demolitive and supported by medical treatment. Moreover, acute ORIF as a first line treatment is frequently burdened by a high failure rate , and often a stem revision is required as second line treatment. The healing process is long and difficult with poor functional results and impairing outcomes. We present a case treated at our institution of a 78 year old woman with a history of a femoral atypical periprosthetic fracture, complicated by multiple surgical revisions. Its arduous management reflects all the difficulties that these type of fractures could present to the surgeon, while its good final result may teach us how to approach them in a correct way.https://doi.org/10.1177/21514593221145884 |
| spellingShingle | Giovanni Vicenti Giuseppe Solarino Guglielmo Ottaviani Massimiliano Carrozzo Filippo Simone Giacomo Zavattini Domenico Zaccari Claudio Buono Davide Bizzoca Giuseppe Maccagnano Biagio Moretti Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem |
| title_full | Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem |
| title_fullStr | Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem |
| title_full_unstemmed | Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem |
| title_short | Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem |
| title_sort | atypical vancouver b1 periprosthetic fractures the unsolved problem |
| url | https://doi.org/10.1177/21514593221145884 |
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