Publications by authors named "Damiano Antognetti"
Article Synopsis
- Atypical femoral fractures (AFFs) are rare but serious injuries linked to bisphosphonate use, and understanding their incidence and risk factors is crucial for treatment.
- A study reviewed radiographs of femoral fractures in patients over 60 to identify cases of AFFs, finding a 10% occurrence in their sample, an increase from a previous study's 5%.
- While bisphosphonates are effective for preventing osteoporotic fractures, prolonged use may lead to an increased risk of AFFs, especially at specific sites of the femur.
Background And Aim: Number of hip prosthesis implants in arthritis, number of patients treated with bisphosphonates to prevent fragility fractures and, together, number of atypical femoral fracture's cases are increasing.
Case Series: This article describes two cases of hip arthritis, treated with hip replacement, in patients using bisphosphonates for a long time; in both cases an incomplete atypical femoral fracture was misdiagnosed before the surgery. Authors describe the importance to carry out a complete osteometabolic and radiographic pre-operative examination of patients in treatment with bisphosphonates going to hip replacement, to check the possible presence of incomplete atypical femoral fracture and to optimize surgical and pharmacological treatment.