Atypical Femoral Fractures: An Orthopaedic Surgeon’s Perspective

被引：0
|
作者：
Clifford B. Jones
机构：
[1] Michigan State University/CHM,Orthopaedic Associates of Michigan
来源：
Current Translational Geriatrics and Experimental Gerontology Reports | 2013年 / 2卷 / 2期
关键词：
Atypical femoral fracture; Pathogenesis; Bisphosphonates; Stress fracture treatment;
D O I：
10.1007/s13670-013-0045-6
中图分类号：
学科分类号：
摘要：
Atypical femoral fractures are uncommon fractures that are often associated with extended bisphosphonate use. They occur in the proximal or middle diaphyseal portion of the femur with a short oblique pattern and have relatively thickened cortices. Prodromal pain symptoms vary and bilateral involvement is common. Because delayed or complicated healing adversely affects treatment, fixation with a load-sharing intramedullary nail seems to fair better than load-bearing plate stabilization. If a delayed union is noted, it is best to wait up to one year before surgical intervention. Optimization of the patient’s metabolism is also required.
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页码：91 / 98
页数：7
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