title: [Operative treatment of metastasis related pathologic and incipient fractures of the extremities].
abstract: From January 1, 1968 to December 31, 1982 50 metastatic and 18 incipient pathological fractures of the humerus and femur were stabilized by Rush-pins, medullary nailing, A0-plates or endoprostheses. In this palliative management of pathological fractures methyl-metacylate (Pallacos) turned out to be a successful adjunct used in most of our cases. The results obtained demonstrate a mean survival time between 9 to 12 months. Only in cases of inoperability, surgical therapy has to be omitted. The functional use of the affected extremities could be restored in 81% (metastases of the lower extremity), in 75% with metastases of the humerus. Roughly 90% of our patients were relieved of pain.
mesh_terms: D000368:Aged; D001858:Bone Nails; D001859:Bone Neoplasms / Q000150:complications / Q000401:mortality / Q000556:secondary*; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D005860:Germany, West; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged
vernacular_title: Die operative Behandlung von metastatisch bedingten pathologischen und drohenden Frakturen der Extremitäten.