Atypical vancouver type-C periprosthetic fracture complicated by nonunion

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

doi:10.2106/JBJS.CC.N.00180

Atypical vancouver type-C periprosthetic fracture complicated by nonunion

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

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

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 language	English (US)
Article number	e44
Journal	JBJS Case Connector
Volume	5
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.N.00180
State	Published - Apr 8 2015

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Atypical vancouver type-C periprosthetic fracture complicated by nonunion",

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.",

author = "Foster Chen and Robert Li and Ajay Lall and Kim, {Sun Jin} and Hirsh, {David M.} and Schwechter, {Evan M.}",

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AU - Chen, Foster

AU - Li, Robert

AU - Lall, Ajay

AU - Kim, Sun Jin

AU - Hirsh, David M.

AU - Schwechter, Evan M.

PY - 2015/4/8

Y1 - 2015/4/8

N2 - 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.

AB - 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.

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Atypical vancouver type-C periprosthetic fracture complicated by nonunion

Abstract

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