Protocol of surgical treatment of long bone pathological fractures.
Long bone pathological fractures in patients with primary and metastatic bone tumours are difficult to treat and their management may alter the prognosis of the disease and jeopardize survival. The aim of this article was to review the relevant studies reporting on the management of tumour patients with pathological fractures of the long bones, to discuss the most suitable approach in these patients, to highlight specific treatment recommendations, and finally based on this analysis and our clinical practice, to propose a treatment algorithm for decision making and treatment.
Department of Orthopaedics, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy. pietro.ruggieri@ior.it
Pietro
P
Ruggieri
Andreas F
AF
Mavrogenis
Roberto
R
Casadei
Costantino
C
Errani
Andrea
A
Angelini
Teresa
T
Calabrò
Elisa
E
Pala
Mario
M
Mercuri
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D001859:Bone Neoplasms / Q000150:complications* / Q000556:secondary; D002985:Clinical Protocols; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011859:Radiography