scholarly journals Surgical management of metastatic lesions of the proximal femur with pathological fractures using intramedullary nailing or endoprosthetic replacement

2017 ◽  
Author(s):  
Zeping Yu ◽  
Yan Xiong ◽  
Rui Shi ◽  
Li Min ◽  
Wenli Zhang ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Surgical Management ◽  
Proximal Femur ◽  
Endoprosthetic Replacement ◽  
Pathological Fractures ◽  
Metastatic Lesions

scholarly journals Surgical management of metastatic lesions of proximal femur and the hip

2018 ◽  
Vol 36 ◽  
pp. 90-95 ◽  
Author(s):  
Mujahid Jamil Khattak ◽  
Umair Ashraf ◽  
Zohaib Nawaz ◽  
Shahryar Noordin ◽  
Masood Umer
Keyword(s):  
Surgical Management ◽  
Proximal Femur ◽  
Metastatic Lesions

scholarly journals Radiation-induced pathological fractures of the proximal femur: a case series considering an endoprosthetic solution

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jonathan Vogel ◽  
Shaun de Villiers ◽  
Walid Mug la ◽  
Jeannie McCaul ◽  
Keith Hosking ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Pathological Fracture ◽  
Background Radiation ◽  
Case Series ◽  
Definitive Treatment ◽  
Fibular Graft ◽  
Endoprosthetic Replacement ◽  
Pathological Fractures ◽  
Radiation Induced

ABSTRACT BACKGROUND: Radiation-induced pathological fractures of the proximal femur are difficult to treat due to frequent non-union and hardware failure using standard fracture fixation techniques. This case series investigates endoprosthetic replacement as a treatment option METHODS: A retrospective folder review from a private hospital in Cape Town, of patients who had sustained a radiation-induced pathological fracture, was reviewed using descriptive statistics. RESULTS: Six patients met the inclusion criteria. One patient was excluded as the minimum follow-up time of six months was not met. Of the Ave patients that were analysed, all Ave sustained transverse, subtrochanteric femur fractures. Prior to definitive treatment with a proximal femoral replacement, three patients were treated with standard trauma instrumentation prior to referral to the unit, and one patient was treated with a vascularised fibular graft as their initial treatment while at the unit. One patient was treated with an endoprosthetic replacement as their first procedure at the unit. Among the three patients treated with standard trauma fixation and the one patient treated with a vascularised fibular graft, there was a 100% failure rate. One standard trauma instrumentation patient had an ablation due to free musculocutaneous flap failure and periprosthetic infection after endoprosthetic replacement. This was the only complication of endoprosthetic replacement. At a median follow-up of 15 months (min 7, max 55) the median Musculoskeletal Tumour Society score was 74% (min 63%, max 93%. CONCLUSION: This case series seeks to highlight the high failure rates seen when treating this condition with standard trauma instrumentation or biological methods. Further research is needed, but endoprosthetic replacement may be a viable alternative solution Level of evidence: Level 4. Keywords: radiation-induced fracture, pathological fracture, endoprosthetic replacement

scholarly journals The surgical management and treatment of metastatic lesions in the proximal femur

Medicine ◽  
2016 ◽  
Vol 95 (28) ◽  
pp. e3892 ◽  
Author(s):  
Helin Feng ◽  
Jin Wang ◽  
Jianfa Xu ◽  
Wei Chen ◽  
Yingze Zhang
Keyword(s):  
Surgical Management ◽  
Proximal Femur ◽  
Metastatic Lesions

scholarly journals Effect of simulated metastatic lesions on the biomechanical behavior of the proximal femur

2017 ◽  
Vol 35 (11) ◽  
pp. 2407-2414 ◽  
Author(s):  
Emir Benca ◽  
Andreas Reisinger ◽  
Janina M. Patsch ◽  
Lena Hirtler ◽  
Alexander Synek ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Biomechanical Behavior ◽  
Metastatic Lesions
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