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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2023; 14(5): 302-311
Published online May 18, 2023. doi: 10.5312/wjo.v14.i5.302
Published online May 18, 2023. doi: 10.5312/wjo.v14.i5.302
Surgical strategy of the treatment of atypical femoral fractures
Bum-Jin Shim, Heejae Won, Department of Orthopedic Surgery, Kyungpook National University Chilgok Hospital, Daegu 41404, South Korea
Bum-Jin Shim, Department of Orthopedic Surgery, Kyungpook National University, College of Medincine, Daegu 41944, South Korea
Shin-Yoon Kim, Seung-Hoon Baek, Department of Orthopedic Surgery, Kyungpook National University Hospital, Kyungpook National University, College of Medincine, Daegu 41944, South Korea
Author contributions: Shim BJ performed the majority of the writing, prepared the figures and tables; Won H provided the input in writing the paper; Kim SY performed data accusation and writing; Baek SH designed the outline and coordinated the writing of the paper.
Supported by Korean Fund for Regenerative Medicine (KFRM) grant funded by the Korea Government (the Ministry of Science and ICT , the Ministry of Health & Welfare), No. 22D0801L1 and No. 22C0604L1.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Seung-Hoon Baek, MD, PhD, Professor, Department of Orthopedic Surgery, Kyungpook National University Hospital, Kyungpook National University, College of Medincine, 130, Dongdeok-ro, Jung-Gu, Daegu 41944, South Korea. insideme@paran.com
Received: December 13, 2022
Peer-review started: December 13, 2022
First decision: February 8, 2023
Revised: February 16, 2023
Accepted: April 19, 2023
Article in press: April 19, 2023
Published online: May 18, 2023
Peer-review started: December 13, 2022
First decision: February 8, 2023
Revised: February 16, 2023
Accepted: April 19, 2023
Article in press: April 19, 2023
Published online: May 18, 2023
Core Tip
Core Tip: For complete atypical femoral fractures (AFFs), cephalomedullary intramedullary nailing spanning the entire femur and various surgical techniques to overcome femoral bowing should be considered. For incomplete AFFs, the recognition of impending complete fractures is important. For the contralateral femur, close surveillance is recommended because of the increased risk of contralateral AFF.