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Fig. 2 | BMC Musculoskeletal Disorders

Fig. 2

From: Surgical outcome of atypical subtrochanteric and femoral fracture related to bisphosphonates use in osteoporotic patients with or without teriparatide treatment

Fig. 2

Another patient, who had a hypertension, diabetes mellitus, and breast cancer history, received bisphosphonates for 5 years. Left thigh pain developed after a minor trauma, and left atypical subtrochanteric fracture was noted. a Internal fixation with intramedullary nail was performed. b The reduction was failure and implants back out at post-operative one year due to nonunion. c Revision surgery was then performed with a Dynamic Condylar Screw with allobone grafting. d Left thigh pain 4 months later with difficulty in weight-bearing. Radiography showed implant failure again with multiple broken screws. e Another revision surgery was performed with a longer Dynamic Condylar Screw with allobone grafting. The patient was under follow-up in the outpatient department

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