global-journal-of-medical-research-h-orthopedic-musculoskeletal-system Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System 0975-5888 2249-4618 Global Journals Publishing Group Incorporated 60648 Bilateral Atypical Femoral Fractures after Prolonged Bisphosphonate Therapy: A Case Report and New Approach to the Management of Iatrogenic Fractures M.DJoseph Maalouly M.DDany Aouad FeghalyMurielle HabibCynthia M.DGeorges El- Rassi LEBANON, Saint Georges University Medical Center, Balamand University 15 01 2019 19 H2 21 26

Atypical femoral fractures (AFFs) are defined as atraumatic fractures of the femoral diaphysis and are known to be a complication of prolonged bisphosphonate (BP) therapy. Surgical treatment of AFFs consists of intramedullary (IM) nailing. We report the case of a 58year-old female patient who presented with bilateral femoral fractures after 12 years of BP therapy. Surgical management using IM nails resulted in iatrogenic fractures of the femoral shaft in both limbs. We therefore, opted for conservative treatment, where a non-weight bearing protocol was implemented. Healing was then observed after six months of follow-up.

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Atypical femoral fractures (AFFs) are defined as atraumatic fractures of the femoral diaphysis and are known to be a complication of prolonged bisphosphonate (BP) therapy. Surgical treatment of AFFs consists of intramedullary (IM) nailing. We report the case of a 58-year-old female patient who presented with bilateral femoral fractures after 12 years of BP therapy. Surgical management using IM nails resulted in iatrogenic fractures of the femoral shaft in both limbs. We therefore, opted for conservative treatment, where a nonweight bearing protocol was implemented. Healing was then observed after six months of follow-up.