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Table 1 Atypical Femoral Fracture cases demographics and medical management

From: Incidence and medical management of bisphosphonate-associated atypical femoral fractures in a major trauma centre: a retrospective observational study

Sex

Age

Radiographic features of AFFa

Antiresorptive treatment pre-fracture

Cessation of BP post fractureb

Contralateral imaging performed

Assessment of Calcium and Vitamin D statusc

Operative Managementd

F

66

All major criteria

1 minor

None

N/A

No

No

Proximal femoral locking plate

M

77

All major criteria

1 minor

Alendronic Acid

No

No

No

IM Nail

F

88

All major criteriae

1 minor

None

N/A

No

No

DHS

F

80

All major criteria

1 minor

None

N/A

No

No

IM Nail

F

63

All major criteriaf

Alendronic Acid

No

Nof

No

IM Nail

F

69

All major criteria

1 minor

Alendronic Acid

Yes

Yes

No

Bilateral IM Nail

F

77

All major criteria

1 minor

Pamidronate

No

No

on supplements

IM Nail

F

70

All major criteria

1 minor

Alendronic Acid

No

No

on supplements

IM Nail

F

85

All major criteria

1 minor

Alendronic Acid

Yes

Yes

on supplements

IM Nail

F

57

All major criteria

1 minor

Alendronic Acid

No

No

No

IM Nail

  1. a It was not possible to determine the minor features relating to prior symptoms, or to determine bilaterality when contralateral imaging was not performed. When a minor feature was present, this related to increased cortical thickening. Poor healing was not mentioned in any electronic health records
  2. b N/A not applicable
  3. c Determined by mention of calcium and vitamin D status in the electronic health record, check of serum vitamin D or whether patient was on supplements
  4. d IM intramedullary nail; DHS dynamic hip screw
  5. e This fracture was incomplete
  6. f This patient had sustained a midshaft fracture on the contralateral side 3 years previously