title: The Carbofix™ "Piccolo Proximal femur nail": A new perspective for treating proximal femur lesion. A technique report.
abstract: Metastases to proximal femur are common and surgery is often suggested to prevent fractures; otherwise it is necessary in cases where this has already occurred. Adjuvant radiotherapy is necessary to reduce the risk of local progression. Nevertheless, the success or failure of radiation therapy treatments depends upon the accuracy in which target identification is correct and dose prescription is fulfilled. Unfortunately, the use of titanium nails consistently limits radiation dose; indeed, the presence of ferromagnetic artifacts interferes with target identification. We present the technique for implant a new carbon fiber nail useful to reduce the ferromagnetic artifacts which allows a better adjuvant radiotherapy.
authors.affiliation: Oncological Orthopedics Department, Muscular-Skeletal Tissue Bank, IFO - Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: Zoccali
authors.affiliation: Laboratory of Medical Physics, IFO - Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy.
authors.forename: Antonella
authors.initials: A
authors.lastname: Soriani
authors.affiliation: Oncological Orthopedics, IFO - Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Rossi
authors.affiliation: Oncological Orthopedics, IFO - Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Salducca
authors.affiliation: Oncological Orthopedics, IFO - Regina Elena National Cancer Institute, Via Elio Chianesi 53, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Biagini
keywords: Artifacts; Osteolysis; Pathologic fracture; Proximal femur metastases; Radiotherapy; Tumor