
Several case series have discussed the outcomes of the operative management of AFFs. Weil et al reviewed clinical data from 15 patients with 17 AFFs associated with long-term BP use who were treated surgically. Fracture healing after the initial procedure among patients treated with intramedullary nails was 54%, with 46% of patients requiring reoperation. The authors attributed this high failure rate to qualitative bone defects caused by long-term BP use.