Archives of Orthopaedic and Trauma Surgery

, Volume 135, Issue 9, pp 1227–1232 | Cite as

A rare case of bilateral proximal femoral insufficiency fractures after interlocking IM nailing for bilateral atypical femoral shaft fractures

  • Young Sung Kim
  • Phil Hyun Chung
  • Suk Kang
  • Jong Pil Kim
  • Ho Min Lee
  • Han Sol Moon
Trauma Surgery


Atypical femoral fractures have unique radiologic and clinical feature. Most commonly used fixation method for atypical femoral fracture is interlocking intramedullary (IM) nailing. The aim of this paper is to document a rare case of a 76-year-old female who sustained bilateral proximal femoral insufficiency fractures after conventional interlocking IM nailing for bilateral atypical femoral shaft fractures without taking history of bisphosphonates. We recommend the routine use of full-length reconstruction or cephalomedullary-type interlocking IM nail for atypical femoral fractures.


Femoral shaft Atypical fracture Insufficiency fracture Interlocking IM nailing 


Conflict of interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Young Sung Kim
    • 1
  • Phil Hyun Chung
    • 1
  • Suk Kang
    • 1
  • Jong Pil Kim
    • 1
    • 2
  • Ho Min Lee
    • 1
  • Han Sol Moon
    • 1
  1. 1.Department of Orthopedic Surgery, College of MedicineDongguk UniversityGyeongjuKorea
  2. 2.Department of Orthopaedic SurgeryDongguk University Gyeongju HospitalGyeongjuKorea

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