Hip & pelvis

  • 제30권4호
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  • Pages.202-209
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  • 2018
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
권호 표지
DOI QR코드

DOI QR Code

Surgical Treatment of the Atypical Femoral Fracture: Overcoming Femoral Bowing

  • Lee, Kyung-Jae (Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine) ;
  • Min, Byung-Woo (Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine)
  • 투고 : 2018.08.11
  • 심사 : 2018.10.24
  • 발행 : 2018.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Atypical femoral fractures differ from ordinary femoral diaphyseal or subtrochanteric fractures in several aspects. Although several authors have reported the results of surgical treatment for atypical femoral fractures, the rate of complications (e.g., delayed union, nonunion, fixation failure, and reoperation) is still high. Therefore, we reviewed principles of surgical treatment and describe useful methods for overcoming femoral bowing in these high-risk patients.

키워드

참고문헌

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  2. Lee KJ, Min BW, Song KS, Bae KC, Cho CH, Lee SW. TScore discordance of bone mineral density in patients with atypical femoral fracture. J Bone Joint Surg Am. 2017;99:1683-8.
  3. Al-Ashqar M, Panteli M, Chakrabarty G, Giannoudis PV. Atypical fractures: an issue of concern or a myth? Injury. 2018;49:649-55. https://doi.org/10.1016/j.injury.2017.12.016
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  7. Lee KJ, Yoo JJ, Oh KJ, et al. Surgical outcome of intramedullary nailing in patients with complete atypical femoral fracture: a multicenter retrospective study. Injury. 2017;48:941-5. https://doi.org/10.1016/j.injury.2017.02.036
  8. Park JH, Lee Y, Shon OJ, Shon HC, Kim JW. Surgical tips of intramedullary nailing in severely bowed femurs in atypical femur fractures: simulation with 3D printed model. Injury. 2016;47:1318-24. https://doi.org/10.1016/j.injury.2016.02.026
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  14. Demiralp B, Ilgan S, Ozgur Karacalioglu A, Cicek EI, Yildrim D, Erler K. Bilateral femoral insuffiency fractures treated with inflatable intramedullary nails: a case report. Arch Orthop Trauma Surg. 2007;127:597-601. https://doi.org/10.1007/s00402-007-0373-0
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피인용 문헌

  1. Diabetes and fractures: new evidence of atypical femoral fractures? vol.31, pp.3, 2018, https://doi.org/10.1007/s00198-019-05224-y
  2. Three-Dimensional Analysis of the Morphological Features in the Femur of Atypical Fracture and Practical Implications of Intramedullary Nailing vol.33, pp.2, 2020, https://doi.org/10.12671/jkfs.2020.33.2.87
  3. Is Full-Length Intramedullary Nail Necessary for Atypical Subtrochanteric Femoral Fracture Associated with Bisphosphonate? vol.27, pp.2, 2018, https://doi.org/10.11005/jbm.2020.27.2.133
  4. Rendezvous Surgery for Peri-Implant Fractures around Locking Compression Plate on Anterolateral Bowed Femur: A Case Report vol.33, pp.3, 2018, https://doi.org/10.12671/jkfs.2020.33.3.159
  5. Report of successful application of the chipping technique in atypical femoral fracture prophylactic surgery ☆ vol.30, pp.None, 2018, https://doi.org/10.1016/j.tcr.2020.100364
  6. Progression of Asymptomatic Contralateral Femur in Patients with Complete Atypical Femoral Fracture, According to Initial Radiographic Findings vol.103, pp.2, 2018, https://doi.org/10.2106/jbjs.20.00807
  7. A Novel Surgical Method for Treating Symptomatic Incomplete Atypical Femoral Fracture using Percutaneous Elastic Intramedullary Nailing vol.12, pp.None, 2018, https://doi.org/10.1177/21514593211015104
  8. Metabolic activities affect femur and lumbar vertebrae remodeling, and anti-resorptive risedronate disturbs femoral cortical bone remodeling vol.53, pp.1, 2018, https://doi.org/10.1038/s12276-020-00548-w
  9. Precontoured Plate Fixation for Incomplete Atypical Diaphyseal Fracture of Femur using Three‐Dimensional Printing RAPID PROTOTYPING : Two Cases Reports vol.13, pp.1, 2021, https://doi.org/10.1111/os.12867
  10. Straight nail insertion through a laterally shifted entry for diaphyseal atypical femoral fractures with bowing: good indications and limitations of this technique vol.45, pp.12, 2021, https://doi.org/10.1007/s00264-021-05212-0
  11. Femoral bowing in the Arab population: A cross-sectional study and literature review vol.26, pp.None, 2022, https://doi.org/10.1016/j.tria.2021.100160