title: Fractures in bone tumour prosthesis.
abstract: OBJECTIVE
  The aim of the present narrative review is to report the different aspects related to the fractures around tumour prosthetic implants in terms of technical and medical issues.
  
  
  METHODS
  A non systematic literature review on the topic was performed.
  
  
  RESULTS
  Given the increased rate of limb salvage procedures and megaprostheses implanted for bone tumours, the increased number of osteoporotic periprosthetic fractures, and the burden of revision arthroplasty, the number of surgeries using endoprosthetic implants is likely to increase in the near future. Surgeons will face more frequently the complications related to tumour endoprosthetic implant. Endoprosthetic reconstruction has a higher risk of intra-operative and post-operative complications compared to conventional prosthetic replacement.
  
  
  CONCLUSIONS
  Very rare reports and recommendations are available in literature regarding the treatment of periprosthetic fractures after megaprosthesis, and there is currently no consensus about which should be the standard management for periprosthetic fractures in this population of patients.
authors: Centro Oncologico di Palazzo Baleani, Azienda Policlinico Umberto I, Roma, Italy. piccioli.and@gmail.com.
authors: Andrea
authors: A
authors: Piccioli
authors: Presidio Ospedaliero Gubbio Gualdo Tadino, ASL Umbria 1, Roma, Italy.
authors: Barbara
authors: B
authors: Rossi
authors: Ospedale Cristo Re, Roma, Italy.
authors: Federico Maria
authors: FM
authors: Sacchetti
authors: Department of Orthopaedic and Traumatology, Catholic University Hospital, Rome, Italy.
authors: Maria Silvia
authors: MS
authors: Spinelli
authors: Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.
authors: Alberto
authors: A
authors: Di Martino
mesh_terms: D001859:Bone Neoplasms / Q000601:surgery*; D015984:Causality; D006801:Humans; D057068:Periprosthetic Fractures / Q000145:classification / Q000209:etiology / Q000628:therapy*; D019736:Prostheses and Implants / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012086:Reoperation; D016896:Treatment Outcome
keywords: Complications; Endoprosthesis; Fracture; Megaimplants; Tumour prosthesis