Bilateral Atypical Femoral Fractures after Prolonged Bisphosphonate Therapy: A Case Report and New Approach to the Management of Iatrogenic Fractures

Joseph Maalouly M.D; Dany Aouad M.D; Murielle Feghaly; Cynthia Habib; Georges El- Rassi M.D

Bilateral Atypical Femoral Fractures after Prolonged Bisphosphonate Therapy: A Case Report and New Approach to the Management of Iatrogenic Fractures

Joseph Maalouly M.D * §

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Dany Aouad M.D

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Murielle Feghaly

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Cynthia Habib

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Georges El- Rassi M.D

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§ Saint Georges University Medical Center, Balamand Un...

Bilateral Atypical Femoral Fractures after Prolonged Bisphosphonate Therapy: A Case Report and New Approach to the Management of Iatrogenic Fractures

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Abstract

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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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

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How to Cite This Article

Joseph Maalouly M.D, Dany Aouad M.D, Murielle Feghaly, Cynthia Habib, Georges El- Rassi M.D. 2019. "Bilateral Atypical Femoral Fractures after Prolonged Bisphosphonate Therapy: A Case Report and New Approach to the Management of Iatrogenic Fractures". Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 19 (GJMR Volume 19 Issue H2).

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GJMR Volume 19 Issue H2

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

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Classification

GJMR-H Classification NLMC Code: WI 965

WE 185

Submission ReceivedDecember 7, 2018
Peer Review Double Blind
Handling Editor
Accepted January 4, 2019
Published January 15, 2019

Version of record

v1.2

Issue date

May 31, 2019

Language

English

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Article Matrices

Total Score: 145

Country: Lebanon

Subject: Global Journal of Medical Research

Authors: Joseph Maalouly M.D, Dany Aouad M.D, Murielle Feghaly, Cynthia Habib, Georges El- Rassi M.D (PhD/Dr. count: 0)

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Publish Date: 2019 01, Tue

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