Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa,

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Presentation transcript:

Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa, MD, Carlos J. Lavernia, MD Arthroplasty Today Volume 2, Issue 4, Pages 147-152 (December 2016) DOI: 10.1016/j.artd.2016.02.004 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Preoperative anteroposterior pelvis radiograph showing severe bilateral OA of the hips, with the right side worse than the left side. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Whole-body bone scan showing focal activity on the lateral aspect of the proximal right femur and on the midshaft of the left femur. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Anteroposterior radiograph of right hip after fall causing AFF. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Postoperative anteroposterior radiograph of right hip. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 5 (a) Anteroposterior radiograph of left hip showing impending AFF. (b) T1 MRI of left hip showing impending AFF (at asterisk). (c) T2 MRI of left hip showing impending AFF (at asterisk). Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 6 Postoperative anteroposterior radiograph of left hip. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 7 One-year follow-up radiographs: (a) anteroposterior pelvis, (b) lateral left hip, and (c) lateral right hip. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions

Figure 8 Two-year follow-up radiographs: (a) anteroposterior pelvis, (b) lateral left hip, and (c) lateral right hip. Arthroplasty Today 2016 2, 147-152DOI: (10.1016/j.artd.2016.02.004) Copyright © 2016 The Authors Terms and Conditions