Proximal femoral reconstruction for failed internal fixation of a bisphosphonate-related femur fracture.
We present a case of a bisphosphonate-related femur fracture in an elderly woman, who failed treatment with both cephalomedullary nail and proximal femoral locking plate, leading to successful treatment with total hip arthroplasty. Hardware failure should be included in the differential of patients with previous internal fixation of bisphosphonate-related femur fracture that present with hip or groin pain. Arthroplasty can be an acceptable salvage option in an active elderly patient with a bisphosphonate-related femur fracture.
Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Rishabh G
RG
Jethanandani
Department of Orthopaedic Surgery, St. Mary's Medical Center, San Francisco, CA, USA.
Chima
C
Nwankwo
Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USA.
Philip R
PR
Wolinsky
Department of Orthopaedic Surgery, University of California, Davis, Sacramento, CA, USA.
Mauro
M
Giordani
Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Derek F
DF
Amanatullah
Atypical; Bisphosphonate; Femur fracture; Proximal femoral replacement; Subtrochanteric; Total hip arthroplasty