Park K-T, Lee K-B
Department of Orthopedic Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
Acta Chir Orthop Traumatol Cech. 2015;82(2):157-60.
Recent reports have found a relationship between long-term bisphosphonate therapy and the occurrence of low-energy subtrochanteric or diaphyseal atypical femoral fractures. These fractures usually occur at only one site in the same bone. We report a rare case of a patient with sequential atypical femoral fractures (first, a diaphyseal fracture, and second, an ipsilateral subtrochanteric fracture) after low-energy trauma. We present the clinical and operative findings and discuss how to prevent subsequent atypical femoral fractures. This case indicates that an atypical subtrochanteric femoral fracture can occur after an atypical diaphyseal fracture in a long-term bisphosphonate user. Doctors should be aware of the possibility of a second fracture and explain the risk to the patient. Key words: bisphosphonate, atypical femoral fracture, low-energy trauma, subtrochanteric and diaphyseal femoral fractures.
近期报告发现长期双膦酸盐治疗与低能量型股骨转子下或骨干非典型骨折的发生之间存在关联。这些骨折通常仅发生在同一骨骼的一个部位。我们报告了一例罕见病例，患者在低能量创伤后相继发生非典型股骨骨折（首先是骨干骨折，其次是同侧股骨转子下骨折）。我们展示了临床和手术 findings 并讨论了如何预防后续的非典型股骨骨折。该病例表明，长期使用双膦酸盐的患者在发生非典型骨干骨折后可能会出现非典型股骨转子下骨折。医生应意识到二次骨折的可能性并向患者解释风险。关键词：双膦酸盐；非典型股骨骨折；低能量创伤；股骨转子下和骨干骨折 。
原文中“findings”未翻译，可能是原文有误，推测应为“findings（发现、结果等）”，可根据实际情况修正译文。
