Atypical vancouver type-C periprosthetic fracture complicated by nonunion

Foster Chen, Robert Li, Ajay Lall, Sun Jin Kim, David M. Hirsh, Evan M. Schwechter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Case: In recent years, atypical femoral fractures (AFFs) associated with bisphosphonate use have increasingly been reported, but current definitions limit their diagnosis to native femora. Atypical periprosthetic fractures are rare. We present a case of a Vancouver type-C periprosthetic fracture that was recognized as an AFF following nonunion. Conclusion: Bisphosphonate-associated AFFs can present as periprosthetic fractures. Delayed recognition of the role of bisphosphonates in a periprosthetic fracture may lead to a worse outcome, including a delay in diagnosis, delayed union, and failure of fixation.

Original languageEnglish (US)
Article numbere44
JournalJBJS Case Connector
Volume5
Issue number2
DOIs
StatePublished - Apr 8 2015

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Periprosthetic Fractures
Femoral Fractures
Diphosphonates
Delayed Diagnosis
Femur

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Atypical vancouver type-C periprosthetic fracture complicated by nonunion. / Chen, Foster; Li, Robert; Lall, Ajay; Kim, Sun Jin; Hirsh, David M.; Schwechter, Evan M.

In: JBJS Case Connector, Vol. 5, No. 2, e44, 08.04.2015.

Research output: Contribution to journalArticle

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