title: A rare case of bilateral proximal femoral insufficiency fractures after interlocking IM nailing for bilateral atypical femoral shaft fractures.
abstract: Atypical femoral fractures have unique radiologic and clinical feature. Most commonly used fixation method for atypical femoral fracture is interlocking intramedullary (IM) nailing. The aim of this paper is to document a rare case of a 76-year-old female who sustained bilateral proximal femoral insufficiency fractures after conventional interlocking IM nailing for bilateral atypical femoral shaft fractures without taking history of bisphosphonates. We recommend the routine use of full-length reconstruction or cephalomedullary-type interlocking IM nail for atypical femoral fractures.
authors.affiliation: Department of Orthopedic Surgery, College of Medicine, Dongguk University, Gyeongju, Korea.
authors.forename: Young Sung
authors.initials: YS
authors.lastname: Kim
authors.forename: Phil Hyun
authors.initials: PH
authors.lastname: Chung
authors.forename: Suk
authors.initials: S
authors.lastname: Kang
authors.forename: Jong Pil
authors.initials: JP
authors.lastname: Kim
authors.forename: Ho Min
authors.initials: HM
authors.lastname: Lee
authors.forename: Han Sol
authors.initials: HS
authors.lastname: Moon
mesh_terms: D000368:Aged; D001863:Bone Screws; D005260:Female; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D017102:Fracture Healing; D015775:Fractures, Stress / Q000209:etiology* / Q000601:surgery; D006801:Humans