title: [Pathological fractures due to malignant bone tumors].
abstract: BACKGROUND
  Malignant bone tumors should be treated within interdisciplinary treatment concepts. The prognosis of pathological fractures is on the whole relatively poor because the fracture is indicative of a large and highly aggressive tumor and the hematoma associated with the fracture could possibly result in spreading of the tumor into the surrounding soft tissues.
  
  
  OBJECTIVE
  This article summarizes the current interdisciplinary treatment concepts under special consideration of pathological fractures in primary bone tumors.
  
  
  METHODS
  A selective literature search was carried out taking own experience into consideration.
  
  
  RESULTS
  Due to the multimodal therapy approach for osteosarcoma and Ewing's sarcoma, the 5-year survival rate could be increased to 60-70 %.
  
  
  CONCLUSIONS
  The therapeutic treatment should always be carried out within the framework of an interdisciplinary, oncological bone expert team, especially in cases of pathological fractures of malignant bone tumors.
authors.affiliation: Klinik für Unfall-, Hand-, Plastische- und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Albert-Einstein-Alle 23, 89081, Ulm, Deutschland, markus.schultheiss@uniklinik-ulm.de.
authors.forename: M
authors.initials: M
authors.lastname: Schultheiss
authors.forename: S E
authors.initials: SE
authors.lastname: Traub
authors.forename: A
authors.initials: A
authors.lastname: v Baer
mesh_terms: D001859:Bone Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012516:Osteosarcoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods