Volume 2, Issue 4, Pages (December 2016)

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Volume 2, Issue 4, Pages 153-156 (December 2016) Proximal femoral reconstruction for failed internal fixation of a bisphosphonate-related femur fracture Rishabh G. Jethanandani, BSE, Chima Nwankwo, MD, Philip R. Wolinsky, MD, Mauro Giordani, MD, Derek F. Amanatullah, MD, PhD Arthroplasty Today Volume 2, Issue 4, Pages 153-156 (December 2016) DOI: 10.1016/j.artd.2016.04.001 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Anteroposterior (AP) radiograph of the left hip showing a bisphosphonate-related femur fracture treated with a cephalomedullary nail that went on to implant failure. Arthroplasty Today 2016 2, 153-156DOI: (10.1016/j.artd.2016.04.001) Copyright © 2016 The Authors Terms and Conditions

Figure 2 (a) Flouroscopic view of compression being applied via a Farabeuf clamp. (b) Flouroscopic view after application of the proximal femoral locking plate. (c) AP radiograph of the left hip after treatment of the bisphosphonate-related femur fracture with compression and a proximal femoral locking plate. (d) AP radiograph of a bisphosphonate-related femur fracture treated with a proximal femoral locking plate that went on to implant failure. Arthroplasty Today 2016 2, 153-156DOI: (10.1016/j.artd.2016.04.001) Copyright © 2016 The Authors Terms and Conditions

Figure 3 (a) Postoperative anteroposterior radiograph of the bisphosphonate-related femur fracture treated with proximal femoral replacement and hook plate. (b) Anteroposterior radiograph of the left hip 2 years postoperatively demonstrating no subsidence, no pedestal, and lack of greater trochanteric migration all suggestive of stable a stable implant as well as union of the greater trochanter. (c) Frog leg lateral radiograph of the left hip 2 years postoperatively demonstrating distal spot welding, streaming trabeculae, and fracture union all suggestive of stable osseointegration. Arthroplasty Today 2016 2, 153-156DOI: (10.1016/j.artd.2016.04.001) Copyright © 2016 The Authors Terms and Conditions