Research Article

Atypical Complete Femoral Fractures Associated with Bisphosphonate Use or Not Associated with Bisphosphonate Use: Is There a Difference?

Table 1

Baseline patient characteristics.

BP group ()Non-BP group ()

Age (yr)72.6 (58–85)73.4 (61–84)0.698
Female sex73 (100%)8 (100%)1.000
Affected side (right : left)35 : 384 : 41.000
Body mass index (kg/m2)25.6 (17.3–40.7)24.9 (21.2–32.3)0.466
Bone mineral density (-score, femur)−2.2 (−0.6–−3.5)−2.3 (−0.8–−3.7)0.589
Comorbidities
 Cardiovascular disease12 (16.4%)2 (25.0%)0.621
 Cerebrovascular disease5 (6.8%)1 (12.5%)0.475
 Chronic pulmonary disease8 (11.0%)1 (12.5%)1.000
 Chronic renal disease1 (1.4%)0 (0.0%)1.000
 Chronic liver disease5 (6.8%)0 (0.0%)1.000
 Diabetes mellitus17 (23.3%)2 (25.0%)1.000
 Smoking1 (1.4%)0 (0.0%)1.000
 Parkinsonism1 (1.4%)1 (12.5%)0.189
 Cognitive impairment3 (4.1%)1 (12.5%)0.346
ASA classification0.216
 I or II66 (90.4%)6 (75.0%)
 III or IV7 (9.6%)2 (25.0%)
Koval score1.000
 123 (31.5%)3 (37.5%)
 2 or 339 (53.4%)4 (50.0%)
 ≥411 (15.1%)1 (12.5%)
Presence of prodromal symptoms0.673
 Yes20 (27.4%)1 (12.5%)
 No53 (72.6%)7 (87.5%)

Prodromal symptoms before fracture, such as thigh pain.