Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-09-2015 | Trauma Surgery

A rare case of bilateral proximal femoral insufficiency fractures after interlocking IM nailing for bilateral atypical femoral shaft fractures

Authors: Young Sung Kim, Phil Hyun Chung, Suk Kang, Jong Pil Kim, Ho Min Lee, Han Sol Moon

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2015

Abstract

Atypical femoral fractures have unique radiologic and clinical feature. Most commonly used fixation method for atypical femoral fracture is interlocking intramedullary (IM) nailing. The aim of this paper is to document a rare case of a 76-year-old female who sustained bilateral proximal femoral insufficiency fractures after conventional interlocking IM nailing for bilateral atypical femoral shaft fractures without taking history of bisphosphonates. We recommend the routine use of full-length reconstruction or cephalomedullary-type interlocking IM nail for atypical femoral fractures.

Shane E, Burr D, Abrahamsen B et al (2014) Atypical subtrochanteric and diaphyseal femoral fractures: second report of a task force of the American Society for Bone and Mineral Research. J Bone Miner Res 29:1–23. doi:10.1002/jbmr.1998 CrossRefPubMed

Bronson WH, Kaye ID, Egol KA (2014) Atypical femur fractures: a review. Curr Osteoporos Rep 12:446–453. doi:10.1007/s11914-014-0239-7 CrossRefPubMed

Im GI, Jeong SH (2015) Pathogenesis, management and prevention of atypicalfemoral fractures. J Bone Metab 22:1–8. doi:10.11005/jbm.2015.22.1.1 PubMedCentralCrossRefPubMed

Gedmintas L, Solomon DH, Kim SC (2013) Bisphosphonates and risk of subtrochanteric, femoral shaft, and atypical femur fracture: a systematic review and metaanalysis. J Bone Miner Res 28:1729–1737PubMedCentralCrossRefPubMed

Schilcher J, Koeppen V, Aspenberg P, Michaëlsson K (2015) Risk of atypicalfemoral fracture during and after bisphosphonate use. Acta Orthop 86:100–107. doi:10.3109/17453674.2015.1004149 PubMedCentralCrossRefPubMed

Rifai A, Pourtaheri S, Carbone A, Callaghan JJ, Stadler CM, Record N, Issa K (2015) Bilateral femur fractures associated with short-term bisphosphonate use. Orthopedics 38:e139–e142. doi:10.3928/01477447-20150204-90 CrossRefPubMed

Tan SC, Koh SB, Goh SK, Howe TS (2011) Atypical femoral stress fractures in bisphosphonate-free patients. Osteoporos Int 22:2211–2212. doi:10.1007/s00198-010-1384-1 CrossRefPubMed

Oh Y, Wakabayashi Y, Kurosa Y, Ishizuki M, Okawa A (2014) Stress fracture of the bowed femoral shaft is another cause of atypical femoral fracture in elderly Japanese: a case series. J Orthop Sci 19:579–586. doi:10.1007/s00776-014-0572-9 CrossRefPubMed

Oh Y, Wakabayashi Y, Kurosa Y, Fujita K, Okawa A (2014) Potential pathogenic mechanism for stress fractures of the bowed femoral shaft in the elderly: mechanical analysis by the CT-based finite element method. Injury 45:1764–1771. doi:10.1016/j.injury.2014.08.037 CrossRefPubMed

10.

Sasaki S, Miyakoshi N, Hongo M, Kasukawa Y, Shimada Y (2012) Low-energy diaphyseal femoral fractures associated with bisphosphonate use and severe curved femur: a case series. J Bone Miner Metab 30:561–567. doi:10.1007/s00774-012-0358-0 CrossRefPubMed

11.

Unnanuntana A, Saleh A, Mensah KA, Kleimeyer JP, Lane JM (2013) Atypical femoral fractures: what do we know about them? AAOS exhibit selection. J Bone Jt Surg Am 95(e8):1–13. doi:10.2106/JBJS.L.00568

12.

Oh CW, Oh JK, Park KC, Kim JW, Yoon YC (2013) Prophylactic nailing of incomplete atypical femoral fractures. Sci world J 2013:450148. doi:10.1155/2013/450148 CrossRef

13.

Lee KJ, Kwon YW, Ha YC, Lee YK, Kim BS, Min BW (2013) Surgical treatment of atypical femoral fracture. J Korean Orthop Assoc 48:185–189CrossRef

14.

Daffner RH, Pavlov H (1992) Stress fracture current concepts. AJR AM J Roentgentol 159:245–252CrossRef

15.

Shane E, Burr D, Ebeling PR et al (2010) Atypical subtrochanteric and diaphyseal femoral fractures: report of a task force of the American Society for Bone and Mineral Research. J Bone Miner Res 25:2267–2294CrossRefPubMed

16.

Cho HJ, Suh KT (2015) A rare case of a bisphosphonate-related femoral diaphyseal fracture occurring below a previously fixed compression hip screw (CHS) plate. J Orthop Sci 20:559–562. doi:10.10007/s00776-013-0519-6 CrossRefPubMed

17.

Saita Y, Ishijima M, Mogami A et al (2014) The fracture sites of atypical femoral fractures are associated with the weight-bearing lower limb alignment. Bone 66:105–110. doi:10.1016/j.bone.2014.06.008 CrossRefPubMed

18.

Hagen JE, Miller AN, Ott SM et al (2014) Association of atypical femoral fractures with bisphosphonate use by patients with varus hip geometry. J Bone Jt Surg Am 96:1905–1909. doi:10.2106/JBJS.N.00075 CrossRef

19.

Martelli S, Pivonka P, Ebeling PR (2014) Femoral shaft strains during daily activities: implications for atypical femoral fractures. Clin Biomech 29:869–876. doi:10.1016/j.clinbiomech.2014.08.001 CrossRef

20.

Saleh A, Hegde VV, Potty AG, Schneider R, Cornell CN, Lane JM (2012) Management strategy for symptomatic bisphosphonate-associated incomplete atypical femoral fractures. HSS J 8:103–110. doi:10.1007/s11420-012-9275-y PubMedCentralCrossRefPubMed

21.

Unnanuntana A, Ashfaq K, Ton QV, Kleimeyer JP, Lane JM (2012) The effect of long-term alendronate treatment on cortical thickness of the proximal femur. Clin Orthop Relat Res 470:291–298PubMedCentralCrossRefPubMed

22.

Giusti A, Hamdy NAT, Dekkers OM, Ramautar SR, Dijkstra S, Papapoulos SE (2011) Atypical fractures and bisphosphonate therapy: a cohort study of patients with femoral fracture with radiographic adjudication of fracture site and femurs. Bone 48:966–971CrossRefPubMed

23.

Weil YA, Rivkin G, Safran O, Liebergall M, Foldes AJ (2011) The outcome of surgically treated femur fractures associated with long-term bisphosphonate use. J Trauma 71:186–190. doi:10.1097/TA.0b013e31821957e3 CrossRefPubMed

24.

Prasarn ML, Ahn J, Helfet DL, Lane JM, Lorich DG (2012) Bisphosphonate-associated femur fractures have high complication rates with operative fixation. Clin Orthop Relat Res 470:2295–2301. doi:10.1007/s11999-012-2412-6 PubMedCentralCrossRefPubMed

25.

Ha YC, Cho MR, Park KH, Kim SY, Koo KH (2010) Is surgery necessary for femoral insufficiency fractures after long-term bisphosphonate therapy? Clin Orthop Relat Res 468:3393–3398. doi:10.1007/s11999-010-1583-2 PubMedCentralCrossRefPubMed

26.

De Das S, Setiobudi T, Shen L (2010) A rational approach to management of alendronate-related subtrochanteric fractures. J Bone Joint Surg Br 92:679–686CrossRef

27.

Fang C, Chau JY, Woo SB, Lau TW, Kwan K, Leung F (2014) Propagation of bisphosphonate-related femoral stress fractures despite femoral nailing: a cautionary tale from 2 cases. Geriatr Orthop Surg Rehabil 5:14–17. doi:10.1177/2151458514522058 PubMedCentralCrossRefPubMed

28.

Bonifacio L, Syson P (2014) Construct failure in an atypical femoral fracture treated with intramedullary nailing: a case report. Malays Orthop J 8:82-84. doi:10.5704/MOJ.1403.008 PubMedCentralCrossRefPubMed

Title: A rare case of bilateral proximal femoral insufficiency fractures after interlocking IM nailing for bilateral atypical femoral shaft fractures
Authors: Young Sung Kim
Phil Hyun Chung
Suk Kang
Jong Pil Kim
Ho Min Lee
Han Sol Moon
Publication date: 01-09-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 9/2015
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-015-2255-1

At a glance: The STEP trials

Springer Medicine

A rare case of bilateral proximal femoral insufficiency fractures after interlocking IM nailing for bilateral atypical femoral shaft fractures

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 9/2015

Influence of vertebral column distraction on spinal cord volume: an experimental study in a goat model

Acute neck pain caused by atlanto-axial instability secondary to pathologic fracture involving odontoid process and C2 vertebral body: treatment with radiofrequency thermoablation, cement augmentation and odontoid screw fixation

The effects of the Frag-Loc® compression screw on distal radius fracture with a displaced dorsoulnar fragment

Abstracts

Pelvic movement strategies and leg extension power in patients with end-stage medial compartment knee osteoarthritis: a cross-sectional study

The efficacy of pedicle screw instrument in treatment of irreducible atlantoaxial dislocation