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Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume 5(3):e57 July 8, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing

by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee

JBJS Case ConnectVolume 5(3):e57

July 8, 2015

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Pre-injury anteroposterior radiograph made in January 2011 of the left femur, demonstrating a thickened lateral cortex and a radiolucent line.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Anteroposterior radiograph made in October 2011 of the left femur, demonstrating an atypical fracture of the femoral shaft.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Anteroposterior radiograph made in October 2012 of the left femur, demonstrating osseous union following intramedullary nailing with a reconstruction-type nail one year postoperatively.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

A radiograph showing subtle flexion at the fracture site.

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume

Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57

©2015 by The Journal of Bone and Joint Surgery, Inc.