title: Obliteration of the medullary canal in an atypical bisphosphonate-related femoral fracture.
abstract: We present a case of a patient with a bisphosphonate-related atypical femoral fracture. Her surgical management was complicated by obliteration of the medullary canal, which prohibited the passage of an intramedullary nail. The relevant literature is discussed.
authors.affiliation: Our Lady of Lourdes Hospital, Louth, Ireland.
authors.forename: Derek T
authors.initials: DT
authors.lastname: Cawley
authors.affiliation: Our Lady of Lourdes Hospital, Louth, Ireland.
authors.forename: Helen L
authors.initials: HL
authors.lastname: Barrett
authors.affiliation: Our Lady of Lourdes Hospital, Louth, Ireland.
authors.forename: Paul
authors.initials: P
authors.lastname: Harrington
mesh_terms: D000368:Aged; D050071:Bone Density Conservation Agents / Q000009:adverse effects*; D004164:Diphosphonates / Q000009:adverse effects*; D005260:Female; D005264:Femoral Fractures / Q000139:chemically induced / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D015775:Fractures, Stress / Q000139:chemically induced / Q000601:surgery*; D006801:Humans
chemical_list: D050071:Bone Density Conservation Agents; D004164:Diphosphonates