Prophylactic Nailing of Incomplete Atypical Femoral Fractures
Introduction. Recent reports have described the occurrence of low-energy subtrochanteric and femoral shaft fractures associated with long-term bisphosphonate use. Although information regarding the surgical treatment of these atypical femoral fractures is increasing, it is unclear if the preventive...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/450148 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554171464679424 |
|---|---|
| author | Chang-Wug Oh Jong-Keon Oh Ki-Chul Park Joon-Woo Kim Yong-Cheol Yoon |
| author_facet | Chang-Wug Oh Jong-Keon Oh Ki-Chul Park Joon-Woo Kim Yong-Cheol Yoon |
| author_sort | Chang-Wug Oh |
| collection | DOAJ |
| description | Introduction. Recent reports have described the occurrence of low-energy subtrochanteric and femoral shaft fractures associated with long-term bisphosphonate use. Although information regarding the surgical treatment of these atypical femoral fractures is increasing, it is unclear if the preventive operation is useful in incomplete fractures. This study examined the results of preventive intramedullary nailing for incomplete atypical femoral fractures. Material and Methods. A retrospective search was conducted for patients older than 50 years receiving bisphosphonate therapy, with incomplete, nondisplaced fractures in either the subtrochanteric or diaphyseal area of the femur. Seventeen patients with a total of 20 incomplete, non-displaced lesions were included. The mean duration of bisphosphonate use was 50.5 months. Eleven of the 17 (64.7%) patients had complete or incomplete fractures on the contralateral femur. All were treated with prophylactic fixation of an intramedullary (IM) nail. The minimum followup was 12 months. Results. All cases healed with a mean period of 14.3 weeks. Nineteen of the 20 cases healed with the dissolution of incomplete fractures of the lateral aspect. A complete fracture developed at the time of nailing in one patient, but it healed with callus bridging. Conclusion. IM nailing appears to be a reliable way of preventing the progress of incomplete atypical femoral fractures. |
| format | Article |
| id | doaj-art-b733b1904fb546cbb24929b0f43794b6 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-b733b1904fb546cbb24929b0f43794b62025-02-03T05:52:10ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/450148450148Prophylactic Nailing of Incomplete Atypical Femoral FracturesChang-Wug Oh0Jong-Keon Oh1Ki-Chul Park2Joon-Woo Kim3Yong-Cheol Yoon4Department of Orthopedic Surgery, Kyungpook National University Hospital, 50, 2-Ga, Samdok, Chung-gu, Daegu 700-721, Republic of KoreaDepartment of Orthopedic Surgery, Korea University Guro Hospital, 148, Guro-dong, Guro-gu, Seoul 152-703, Republic of KoreaDepartment of Orthopedic Surgery, Hanyang University Guri Hospital, 153, Gyeongchun-ro, Guri, Gyeonggi-do 471-701, Republic of KoreaDepartment of Orthopedic Surgery, Kyungpook National University Hospital, 50, 2-Ga, Samdok, Chung-gu, Daegu 700-721, Republic of KoreaDepartment of Orthopedic Surgery, Korea University Guro Hospital, 148, Guro-dong, Guro-gu, Seoul 152-703, Republic of KoreaIntroduction. Recent reports have described the occurrence of low-energy subtrochanteric and femoral shaft fractures associated with long-term bisphosphonate use. Although information regarding the surgical treatment of these atypical femoral fractures is increasing, it is unclear if the preventive operation is useful in incomplete fractures. This study examined the results of preventive intramedullary nailing for incomplete atypical femoral fractures. Material and Methods. A retrospective search was conducted for patients older than 50 years receiving bisphosphonate therapy, with incomplete, nondisplaced fractures in either the subtrochanteric or diaphyseal area of the femur. Seventeen patients with a total of 20 incomplete, non-displaced lesions were included. The mean duration of bisphosphonate use was 50.5 months. Eleven of the 17 (64.7%) patients had complete or incomplete fractures on the contralateral femur. All were treated with prophylactic fixation of an intramedullary (IM) nail. The minimum followup was 12 months. Results. All cases healed with a mean period of 14.3 weeks. Nineteen of the 20 cases healed with the dissolution of incomplete fractures of the lateral aspect. A complete fracture developed at the time of nailing in one patient, but it healed with callus bridging. Conclusion. IM nailing appears to be a reliable way of preventing the progress of incomplete atypical femoral fractures.http://dx.doi.org/10.1155/2013/450148 |
| spellingShingle | Chang-Wug Oh Jong-Keon Oh Ki-Chul Park Joon-Woo Kim Yong-Cheol Yoon Prophylactic Nailing of Incomplete Atypical Femoral Fractures The Scientific World Journal |
| title | Prophylactic Nailing of Incomplete Atypical Femoral Fractures |
| title_full | Prophylactic Nailing of Incomplete Atypical Femoral Fractures |
| title_fullStr | Prophylactic Nailing of Incomplete Atypical Femoral Fractures |
| title_full_unstemmed | Prophylactic Nailing of Incomplete Atypical Femoral Fractures |
| title_short | Prophylactic Nailing of Incomplete Atypical Femoral Fractures |
| title_sort | prophylactic nailing of incomplete atypical femoral fractures |
| url | http://dx.doi.org/10.1155/2013/450148 |
| work_keys_str_mv | AT changwugoh prophylacticnailingofincompleteatypicalfemoralfractures AT jongkeonoh prophylacticnailingofincompleteatypicalfemoralfractures AT kichulpark prophylacticnailingofincompleteatypicalfemoralfractures AT joonwookim prophylacticnailingofincompleteatypicalfemoralfractures AT yongcheolyoon prophylacticnailingofincompleteatypicalfemoralfractures |