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Surgical Management of Atypical Femur Fractures Associated With Bisphosphonate Therapy.

A new interesting article has been published in J Am Acad Orthop Surg. 2018 Sep 25. doi: 10.5435/JAAOS-D-16-00717. and titled:

Surgical Management of Atypical Femur Fractures Associated With Bisphosphonate Therapy.

Authors of this article are:
Githens M Garner MR Firoozabadi R.

A summary of the article is shown below:
Atypical femur fractures associated with long-term bisphosphonate use can be challenging injuries to manage. Not only do they have a prolonged healing time and increased rate of nonunion as compared to typical femur fractures, intraoperative complications are not infrequent and can be catastrophic. Given the pathologic nature of these fractures, a multidisciplinary approach to the patient’s care is necessary. Treatment begins with medical optimization and careful surgical planning. Radiographic characteristics of the fracture and femoral osteology dictate reduction strategy, adjunctive surgical techniques, and implant choice. Intraoperative complications including malreduction, iatrogenic fracture, and fracture propagation can be avoided with thoughtful planning. The purpose of this article is to discuss the technical aspects of surgical management of atypical femur fractures. We also discuss management of intraoperative complications and treatment failure. Finally, we provide an update on recommendations for postoperative medical treatment and management of the contralateral femur.

Check out the article’s website on Pubmed for more information:



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