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Updated: May 31, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Intraoperative Intramedullary Photobiomodulation Therapy for Consolidation of Atypical Femoral Fractures in Elderly
Daniel Oksman1, Gabrielly Santos Pereira2, Andre Carvalho Rodriguez3
1Department of Orthopedics and Traumatology, Prevent Senior Institute, São Paulo, SP, Brazil.
Background:
Atypical femoral fractures (AFFs) are rare complications often linked to prolonged bisphosphonate use. This pilot study evaluated the feasibility of intraoperative intramedullary photobiomodulation therapy (PBMT) using long, sterile optical fibers during surgical fixation.
Methods:
Eleven elderly female patients with AFFs were randomized into a PBMT-treated group or control. PBMT was applied using a red laser (638 nm, 3.2 J per point).
Results:
No statistically significant differences in healing, complications, or function were observed. However, a trend toward improved RUSTm scores in the PBMT group emerged.
Conclusion:
This novel technique appears feasible and safe; further studies are needed to assess its regenerative potential.