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Atypical Subtrochanteric Femoral Fracture Below an Arthritic Hip: A Case Report
Takahito Yuasa1, Katsuhiko Maezawa, Yu Taniguchi
1Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan 113-8421. tyuasa@juntendo.ac.jp.
Case:
We present a case of a sixty-nine-year-old woman with an atypical subtrochanteric femoral fracture below an arthritic hip; the patient had a history of long-term bisphosphonate treatment. We performed a one-stage total hip arthroplasty with a plate and cables because the healing of atypical femoral fractures in patients with a history of bisphosphonate use can be prolonged.
Conclusion:
The combined use of a plate and total hip arthroplasty is a potential intervention for atypical proximal femoral fractures associated with hip arthritis.

