Pathologic Peri-Implant Proximal Femur Fracture: Takeaways from Our Experience.
Journal
Case reports in orthopedics
ISSN: 2090-6749
Titre abrégé: Case Rep Orthop
Pays: United States
ID NLM: 101591806
Informations de publication
Date de publication:
2023
2023
Historique:
received:
02
11
2022
revised:
09
07
2023
accepted:
14
10
2023
medline:
29
11
2023
pubmed:
29
11
2023
entrez:
29
11
2023
Statut:
epublish
Résumé
Pathologic fractures of the distal femur secondary to bone metastases are not as common as those in the proximal femur, and they are rarely reported on in the literature. Even in the absence of current metastatic lesions in the femoral neck, traditional orthopaedic teaching has stressed the importance of protecting the entire femur, while recent studies have shown that it may not be necessary to stabilize the entire femur in the event of future metastases. Thus, there is no consensus regarding optimal surgical treatment, making the choice of fixation often based on the experience of the surgeon. In this paper, we reported on a patient who presented with a pathologic fracture of the distal femur who was stabilized with a retrograde intramedullary nail and then subsequently suffered a pathologic fracture of the proximal femur. To our knowledge, there have been no cases reported on a peri-implant pathologic fracture proximal to a retrograde intramedullary nail in the setting of metastatic bone disease. We would like to share our experience on how to surgically manage this and discuss the literature around management of distal femoral bone metastases.
Identifiants
pubmed: 38020060
doi: 10.1155/2023/3193937
pmc: PMC10663088
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3193937Informations de copyright
Copyright © 2023 Mustafa Hashimi et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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