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Aypical Femur Fracture Surgical treatment

Posted by cynprev @cynprev, Aug 16 11:59am

about 18 years ago i took Fosamax for about 12-18 months. Discontinued due to concerns about reported Atypical Femur fractures. Bone density was declining so i was started on Prolia 13 years ago. Had a recent fall on a wet floor the end of April. Early in June I got up during the night and as i stepped out of bed had a shooting pain in my right upper leg which i thought was a pulled muscle. Bone density July 20 identified an abnormality which Xray and MRI confirmed AFF consistent with bisphosphonate therapy. Considering having the rod inserted to prevent full breakage. Anyone have experience with this surgical remedy??

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tillymack | @tillymack | Aug 16 1:15pm

I believe Prolia also has a risk of atypical femur fractures.

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cynprev | @cynprev | Aug 16 2:11pm

It seems every drug for osteoporosis has it to some degree.
At this point, I hope to hear from someone who has opted to do the surgery to implant the rod to prevent further fracture now or in the future for their experience and outccome.

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cat1203 | @cat1203 | Aug 17 7:45pm
In reply to @cynprev "It seems every drug for osteoporosis has it to some degree. At this point, I hope..." + (show)
Profile picture for cynprev @cynprev

It seems every drug for osteoporosis has it to some degree.
At this point, I hope to hear from someone who has opted to do the surgery to implant the rod to prevent further fracture now or in the future for their experience and outccome.

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@cynprev I can't speak to your question about the surgery to implant a rod, but I would like to chime in about every drug for osteoporosis carries with it some risk for AFF. That is not true. It is only true of the anti-resorptives (bisphosphonates and denosumab (Prolia). Good luck with your surgery.

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cynprev | @cynprev | Aug 18 9:20am

So my doctor has recommended a year of Evenity and then most likely Reclast. Not sure if medicare prevents other possible solutions. Anyone have good success with this path forward?
I currently walk and bike ride but as soon as I am healed from this surgery i plan to add mat pilates and Yoga, especially the Dr Loren Fishman 12 daily poses for bone health.

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