Successful Treatment of Atypical Femoral Fracture with Bowed Femur Using Contralateral Intramedullary Nail Combined with Early Daily Teriparatide

Acta Med Okayama. 2022 Jun;76(3):333-338. doi: 10.18926/AMO/63744.


We report a case of atypical femoral fracture achieving early fracture union with combination therapy comprising contralateral nail and immediate teriparatide injection. Fracture union of atypical fractures is often delayed due to bowing deformity and bone metabolic disorders. Combination treatment that takes both problems into consideration represents a useful treatment option for atypical femoral fracture.

Keywords: atypical femoral fracture; bowing deformity; cephalomedullary screw; intramedullary nail; teriparatide.

Publication types

  • Case Reports

MeSH terms

  • Bone Nails
  • Femoral Fractures* / complications
  • Femoral Fractures* / drug therapy
  • Femoral Fractures* / surgery
  • Femur / surgery
  • Humans
  • Retrospective Studies
  • Teriparatide* / therapeutic use


  • Teriparatide