Combined effect of a locking plate and teriparatide for inco
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Although bisphosphonates (BPs) are the gold standard for osteoporosis pharmacotherapy, several adverse effects related to their long-term use have recently been reported, such as osteonecrosis of the jaw (ONJ) and atypical low-energy subtrochanteric and diaphyseal femoral fractures due to severely suppressed bone turnover (SSBT). These fractures are typically diagnosed as atypical femoral fractures (AFFs). In surgical treatment, reconstruction nail fixation is recommended for both complete and incomplete fractures. However, in incomplete AFF patients with severely curved femurs, it is difficult to insert a nail into the femur. We describe herein two patients with incomplete AFFs treated by locking plates and teriparatide, showing favorable courses after surgery.

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