To report a case of atypical femoral fracture (AFF) induced by long course of oral bisphosphonates (BPs), successfully treated with a multimodal surgical and pharmacological approach. We report about a case presenting to our department with an AFF on a deformed femur (previous surgery for developmental dysplasis of the hip), which we treated with "aggressive" surgical treatment (osteosynthesis + structural bone allograft + autologous bone marrow concentrate) and medical anabolic treatment with teriparatide. Complete radiological fracture healing was observed at 3 months. Difficult fractures should be treated in a combined method, using advanced surgical (usually reserved for non-union or periprosthetic fractures) and pharmacological modalities. © 2019 CIC Edizioni Internazionali s.r.l.. All rights reserved.

Cesari, M., Mondanelli, N., Gonnelli, S., Caffarelli, C., Bottai, V., Giannotti, S. (2019). Atypical femoral fracture on a deformed bone, treated with a multimodal approach. A case report. CLINICAL CASES IN MINERAL AND BONE METABOLISM, 16(1), 62-65.

Atypical femoral fracture on a deformed bone, treated with a multimodal approach. A case report

Cesari M.;Mondanelli N.;Gonnelli S.;Caffarelli C.;Giannotti S.
2019-01-01

Abstract

To report a case of atypical femoral fracture (AFF) induced by long course of oral bisphosphonates (BPs), successfully treated with a multimodal surgical and pharmacological approach. We report about a case presenting to our department with an AFF on a deformed femur (previous surgery for developmental dysplasis of the hip), which we treated with "aggressive" surgical treatment (osteosynthesis + structural bone allograft + autologous bone marrow concentrate) and medical anabolic treatment with teriparatide. Complete radiological fracture healing was observed at 3 months. Difficult fractures should be treated in a combined method, using advanced surgical (usually reserved for non-union or periprosthetic fractures) and pharmacological modalities. © 2019 CIC Edizioni Internazionali s.r.l.. All rights reserved.
Cesari, M., Mondanelli, N., Gonnelli, S., Caffarelli, C., Bottai, V., Giannotti, S. (2019). Atypical femoral fracture on a deformed bone, treated with a multimodal approach. A case report. CLINICAL CASES IN MINERAL AND BONE METABOLISM, 16(1), 62-65.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1124127