Hip & Pelvis  2015;27(3):187-191

doi:10.5371/hp.2015.27.3.187

Periprosthetic Atypical Femoral Fracture-like Fracture after Hip Arthroplasty: A Report of Three Cases.

Kyung Jae LEE 1 ; Byung Woo MIN ; Hyung Kyu JANG ; Hee Uk YE ; Kyung Hwan LIM

Affiliations

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Keywords

Hip; Periprosthetic fractures; Atypical femoral fracture

Country

Republic of Korea

Language

English

Abstract

Atypical femoral fractures are stress or insufficient fractures induced by low energy trauma or no trauma and have specific X-ray findings. Although the American Society for Bone and Mineral Research has excluded periprosthetic fractures from the definition of an atypical femoral fracture in 2013, this is still a matter of controversy because some authors report periprosthetic fractures showing specific features of atypical fractures around a well-fixed femoral stem. We report 3 cases of periprosthetic femur fractures that had specific radiographic features of atypical femoral fractures in patients with a history of prolonged bisphosphonate use; we also review relevant literature.