PMC9939954_01
AP pelvis view at the emergency department with simultaneous bilateral femoral fractures. Right neck of femur fracture (black arrow) and left subtrochanteric fracture (red arrow). AP: anteroposterior
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FIG1
After clinical and radiographic evaluation, an incomplete right femoral neck fracture and an incomplete left subtrochanteric femoral fracture were noted (Figure 1).
(A) Right atypical femoral diaphysis fracture (red arrow) after three-year use of alendronate; (B) Intramedullary nailing of AFF (red arrow). AFF: atypical femoral fracture
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FIG2
Regarding her surgical history, she had an atypical fracture of her right femoral diaphysis eight years ago after minor trauma, when she had already been on alendronate for three years (Figure 2A). This atypical fracture was surgically fixed with intramedullary (IM) nailing elsewhere (Figure 2B).
AP pelvis view immediately postoperatively. Right hip hemiarthroplasty (black arrow) and left femur intramedullary nailing (red arrow). AP: anteroposterior
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FIG3
Initially, a right hip hemiarthroplasty was performed after the removal of the IM nail (Figure 3). Subsequently, IM nailing of the left femur with a long Gamma nail was applied (Figure 3).
Right hip hemiarthroplasty and left femur intramedullary nailing three months postoperatively
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FIG4
Patient's mobilization three months postoperatively. Patient's mobilization four years postoperatively
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VID1