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

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.