Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch,...
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![Page 1: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/1.jpg)
Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing
by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee
JBJS Case ConnectVolume 5(3):e57
July 8, 2015
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/2.jpg)
Pre-injury anteroposterior radiograph made in January 2011 of the left femur, demonstrating a thickened lateral cortex and a radiolucent line.
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/3.jpg)
Anteroposterior radiograph made in October 2011 of the left femur, demonstrating an atypical fracture of the femoral shaft.
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/4.jpg)
Anteroposterior radiograph made in October 2012 of the left femur, demonstrating osseous union following intramedullary nailing with a reconstruction-type nail one year postoperatively.
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/5.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/6.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/7.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/8.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/9.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/10.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/11.jpg)
A radiograph showing subtle flexion at the fracture site.
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/12.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Atypical Femoral Fracture Despite Prophylactic Intramedullary Nailing by Christine E. Schemitsch, Paul Kuzyk, and Michael D. McKee JBJS Case Connect Volume.](https://reader036.fdocuments.net/reader036/viewer/2022062715/56649d9e5503460f94a88a86/html5/thumbnails/13.jpg)
Christine E. Schemitsch et al. JBJS Case Connect 2015;5:e57
©2015 by The Journal of Bone and Joint Surgery, Inc.