ArticleClinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
Histological study of atraumatic periprosthetic fractures: does atypical periprosthetic fracture exist?
Article in Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Impending atypical femoral fractures associated with bisphosphonates: postoperative diagnosis after hip prosthesis. Clinical cases presentation.Acta bio-medica : Atenei Parmensis · 2022Article
- Surgical and Pharmacological Management of Periprosthetic Atypical Femoral Fractures: A Narrative Literature Review.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Treatment Algorithm of Periprosthetic Femoral Fracturens.Geriatric orthopaedic surgery & rehabilitation · 2022Review
- Atypical periprosthetic femur fracture on an underestimated atypical femoral pattern. A case report.Trauma case reports · 2021Article
- Combined Surgical and Medical Treatment for Vancouver B1 and C Periprosthetic Femoral Fractures: A Proposal of a Therapeutic Algorithm While Retaining the Original Stable Stem.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Multiple failures of internal fixation for treatment of periprosthetic femoral refracture: a case report and literature review.The Journal of international medical research · 2020Review
- Two Cases of Periprosthetic Atypical Femoral Fractures in Patients on Long-Term Bisphosphonate Treatment.Case reports in surgery · 2019Article
- A Periprosthetic Femoral Fracture with Characteristics of Atypical Femoral Fracture.Case reports in orthopedics · 2019Article
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Abstract
purposeIs it possible a correlation between some periprosthetic femoral fractures and atypical fractures? CASE: We present a case of a 77-year-old woman with atypical periprosthetic femoral fracture. The patient had a history of long-term bisphosphonate use. We performed an open reduction, a synthesis of the fracture and a histological exam. The patient stopped the bisphosphonate (BF) therapy. Three months later, before starting the teriparatide treatment, the patient had a re-fracture so we did a second osteosynthesis and began a teriparatide therapy. After six months, the radiography showed a bone healing at the fracture site.
resultThe histological examination confirmed the diagnosis of atypical femoral fracture.
conclusionAt first, the fracture showed a delayed union which led to a new surgery, as often happens in BF-related atypical fractures. Appropriate treatment (BF suspension and teriparatide beginning) permitted fracture healing. The atypical characteristic of the fracture was confirmed by histological exam.Some periprosthetic femoral fractures in patients treated with BF, especially in long time therapies, should be suspected as atypical fractures and a specific medical treatment should be performed, as well as a correct surgical treatment.
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