You are currently on the new version of our website. Access the old version .

14 Results Found

  • Article
  • Open Access
1 Citations
1,988 Views
17 Pages

Management Concepts of Bisphosphonate-Related Atypical Femoral Fractures

  • Liviu-Coriolan Misca,
  • Rehan Gul and
  • Jenel Marian Patrascu

21 April 2025

Background/Objectives: Osteoporosis is an important health issue worldwide, and bisphosphonates are commonly prescribed for its treatment. However, certain complications can occur with long-term bisphosphonate therapy. The complication highlighted in...

  • Article
  • Open Access
702 Views
11 Pages

Impact of Prolonged Bisphosphonate Therapy on Atypical Femoral Fractures: Insights from a Single-Center Experience

  • Alessia Caldaci,
  • Pierpaolo Panebianco,
  • Sveva Condorelli,
  • Noemy Zappalà,
  • Luciano Costarella,
  • Marco Sapienza,
  • Gianluca Testa and
  • Vito Pavone

21 November 2025

Background: Osteoporosis is a prevalent metabolic disorder frequently managed with bisphosphonates, which reduce fracture risk but, with prolonged use, may predispose to atypical femoral fractures (AFFs). These rare but serious complications highligh...

  • Article
  • Open Access
3 Citations
2,259 Views
16 Pages

10 February 2024

Background: Glucocorticoids induce osteoporosis, while bisphosphonates treat it, yet both can lead to atypical femoral fractures. Patients on both agents may face challenges in healing from such fractures due to their pathophysiology and pharmacologi...

  • Article
  • Open Access
307 Views
13 Pages

Atypical Femur Fractures Without Bisphosphonate Exposure (AFFwB): A Retrospective Report of 21 Cases

  • Lorenzo Lucchetta,
  • Carmelinda Ruggiero,
  • Samuele Berardi,
  • Alice Franceschi,
  • Michele Bisaccia and
  • Giuseppe Rinonapoli

19 December 2025

Background/Objectives: Atypical femoral fractures (AFFs) are rare and classically linked to long-term bisphosphonate therapy, but many occur without such exposure. We aimed to characterize atypical femoral fractures without bisphosphonate exposure (A...

  • Article
  • Open Access
2 Citations
7,973 Views
13 Pages

9 April 2023

Background and objectives: Iatrogenic fractures are potential complications during intramedullary (IM) nailing for atypical femoral fractures (AFFs). The risk factors associated with iatrogenic fractures remain unclear, although excessive femoral bow...

  • Article
  • Open Access
1 Citations
339 Views
14 Pages

1 December 2025

Background/Objectives: Long-term bisphosphonate (BP) therapy is an effective treatment for osteoporosis but has been associated with rare complications such as atypical femoral fractures (AFFs). Emerging reports suggest that similar insufficiency fra...

  • Article
  • Open Access
8 Citations
3,488 Views
11 Pages

Gene Network of Susceptibility to Atypical Femoral Fractures Related to Bisphosphonate Treatment

  • Natalia Garcia-Giralt,
  • Neus Roca-Ayats,
  • Josep F Abril,
  • Nuria Martinez-Gil,
  • Diana Ovejero,
  • Santos Castañeda,
  • Xavier Nogues,
  • Daniel Grinberg,
  • Susanna Balcells and
  • Raquel Rabionet

14 January 2022

Atypical femoral fractures (AFF) are rare fragility fractures in the subtrocantheric or diaphysis femoral region associated with long-term bisphosphonate (BP) treatment. The etiology of AFF is still unclear even though a genetic basis is suggested. W...

  • Communication
  • Open Access
4 Citations
2,208 Views
7 Pages

High Frequencies of Genetic Variants in Patients with Atypical Femoral Fractures

  • Álvaro del Real,
  • Raquel Cruz,
  • Carolina Sañudo,
  • José L. Pérez-Castrillón,
  • María I. Pérez-Núñez,
  • Jose M. Olmos,
  • José L. Hernández,
  • Carmen García-Ibarbia,
  • Carmen Valero and
  • Jose A. Riancho

15 February 2024

This study explores the genetic factors associated with atypical femoral fractures (AFF), rare fractures associated with prolonged anti-resorptive therapy. AFF are fragility fractures that typically appear in the subtrochanteric or diaphyseal regions...

  • Review
  • Open Access
8 Citations
6,131 Views
19 Pages

Bilateral Atypical Femoral Fractures after Bisphosphonate Treatment for Osteoporosis: A Literature Review

  • SeokJoon Hwang,
  • Minsu Seo,
  • Dongin Lim,
  • Min Suk Choi,
  • Jin-Woo Park and
  • Kiyeun Nam

29 January 2023

Introduction: This literature review aimed to investigate the incidence, anatomical concerns, etiology, symptoms, diagnostic tools, management, and prognosis of bisphosphonate (BP)—associated bilateral atypical femoral fractures (AFFs). Methods...

  • Article
  • Open Access
10 Citations
3,171 Views
11 Pages

Functional Analyses of Four CYP1A1 Missense Mutations Present in Patients with Atypical Femoral Fractures

  • Nerea Ugartondo,
  • Núria Martínez-Gil,
  • Mònica Esteve,
  • Natàlia Garcia-Giralt,
  • Neus Roca-Ayats,
  • Diana Ovejero,
  • Xavier Nogués,
  • Adolfo Díez-Pérez,
  • Raquel Rabionet and
  • Susanna Balcells

Osteoporosis is the most common metabolic bone disorder and nitrogen-containing bisphosphonates (BP) are a first line treatment for it. Yet, atypical femoral fractures (AFF), a rare adverse effect, may appear after prolonged BP administration. Given...

  • Article
  • Open Access
7 Citations
3,770 Views
13 Pages

20 April 2023

Atypical femoral fracture (AFF) is a rare complication related to the use of bisphosphonates (BPs). Herein, we analyzed the risk factors and onset patterns of AFF using the Japanese Adverse Drug Event Report database and reported the findings. First,...

  • Article
  • Open Access
123 Views
12 Pages

6 January 2026

Background/Objectives: Surgical management of atypical femoral fractures (AFFs) stabilized with intramedullary (IM) nailing is frequently challenged by delayed union or nonunion due to the severely suppressed bone turnover characteristic of bisphosph...

  • Article
  • Open Access
1 Citations
1,485 Views
24 Pages

Context-Aware Level-Wise Feature Fusion Network with Anomaly Focus for Precise Classification of Incomplete Atypical Femoral Fractures in X-Ray Images

  • Joonho Chang,
  • Junwon Lee,
  • Doyoung Kwon,
  • Jin-Han Lee,
  • Minho Lee,
  • Sungmoon Jeong,
  • Joon-Woo Kim,
  • Heechul Jung and
  • Chang-Wug Oh

19 November 2024

Incomplete Atypical Femoral Fracture (IAFF) is a precursor to Atypical Femoral Fracture (AFF). If untreated, it progresses to a complete fracture, increasing mortality risk. However, due to their small and ambiguous features, IAFFs are often misdiagn...

  • Article
  • Open Access
1 Citations
2,495 Views
10 Pages

Weight-Based Bisphosphonate Administration for Multiple Myeloma Patients and the Risks of Skeletal Complications

  • Ji Hoon Bahk,
  • Woo-Lam Jo,
  • Soon-Yong Kwon,
  • Hyung Chul Park and
  • Young Wook Lim

18 February 2023

High-dose bisphosphonate for multiple myeloma patients might elevate risks of skeletal complications earlier than general expectations. This study aims to find incidences of atypical femoral fracture (AFF) and medication-related osteonecrosis of the...