Atypical femoral fractures related to bisphosphonate treatment

A. Koh, E. Guerado, P. V. Giannoudis
  • The Bone & Joint Journal, March 2017, Bone & Joint
  • DOI: 10.1302/0301-620x.99b3.bjj-2016-0276.r2

What is it about?

A systematic review of treatment of atypical femoral fractures was carried out to evaluate the outcomes of surgical fixation of complete atypical fractures and assess whether prophylactic surgery is necessary for incomplete atypical fractures. A total of 733 patients with 834 atypical complete or incomplete femoral fractures were evaluated. Intramedullary nailing is the first-line treatment for complete fractures, although the possibility of delayed healing and revision surgery seems to be higher than with typical femoral fractures. Prophylactic surgery with intramedullary nail should be considered in patients with incomplete fractures that experience e intractable pain.

Why is it important?

Systematic review of a worldwide current problem

Perspectives

Enrique Guerado
Hospital Costa del Sol

A systematic review on atypical fractures and its fixation

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http://dx.doi.org/10.1302/0301-620x.99b3.bjj-2016-0276.r2

The following have contributed to this page: Professor Peter Giannoudis, Akihiro Koh, and Enrique Guerado