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Periprosthetic Atypical Femoral Fracture-like Fracture after Hip Arthroplasty: A Report of Three Cases

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초록

Atypical femoral fractures are stress or insufficient fractures induced by low energy trauma or no trauma and have specific X-ray findings. Although the American Society for Bone and Mineral Research has excluded periprosthetic fractures from the definition of an atypical femoral fracture in 2013, this is still a matter of controversy because some authors report periprosthetic fractures showing specific features of atypical fractures around a well-fixed femoral stem. We report 3 cases of periprosthetic femur fractures that had specific radiographic features of atypical femoral fractures in patients with a history of prolonged bisphosphonate use; we also review relevant literature.

Abstract

Atypical femoral fractures are stress or insufficient fractures induced by low energy trauma or no trauma and have specific X-ray findings. Although the American Society for Bone and Mineral Research has excluded periprosthetic fractures from the definition of an atypical femoral fracture in 2013, this is still a matter of controversy because some authors report periprosthetic fractures showing specific features of atypical fractures around a well-fixed femoral stem. We report 3 cases of periprosthetic femur fractures that had specific radiographic features of atypical femoral fractures in patients with a history of prolonged bisphosphonate use; we also review relevant literature.

참고문헌 (8)

  1. Shane E, "Atypical subtrochanteric and diaphyseal femoral fractures : second report of a task force of the American Society for Bone and Mineral Research", J Bone Miner Res, 29, pp.1~23 (2014)
  2. Niikura T, "Rare non-traumatic periprosthetic femoral fracture with features of an atypical femoral fracture : a case report", J Med Case Rep, 9, pp.103~ (2015)
  3. Curtin BM, "Bisphosphonate fractures as a cause of painful total hip arthroplasty", Orthopedics, 34, pp.e939~e944 (2011)
  4. Cross MB, "A rare case of a bisphosphonate-induced peri-prosthetic femoral fracture", J Bone Joint Surg Br, 94, pp.994~997 (2012)
  5. Duncan CP, "Fractures of the femur after hip replacement", Instr Course Lect, 44, pp.293~304 (1995)
  6. Ha YC, "Is surgery necessary for femoral insufficiency fractures after longterm bisphosphonate therapy?", Clin Orthop Relat Res, 468, pp.3393~3398 (2010)
  7. Prasarn ML, "Bisphosphonate-associated femur fractures have high complication rates with operative fixation", Clin Orthop Relat Res, 470, pp.2295~2301 (2012)
  8. Hanssen AD, "Revision total hip arthroplasty: the painful hip", J Bone Joint Surg Am, 91(Suppl 5), pp.22~ (2009)

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