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to pain, pathological fractures, immobility, decreased functioning, and hypercalcaemia. Over half of patients experience clinical symptoms for which treatment is required, 3 of whom only a minority are surgically treated. 4 In the long bones
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with impending or actual pathological fractures. 5 Those impending or actual pathological fractures regularly require surgical treatment in order to prevent or stabilize fractures. Surgical procedures used to stabilize impending or actual
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finding the primary tumour site, but should be the last procedure in the diagnostic work-up because it weakens the affected bone and can lead to a pathological fracture. Approximately 20% of patients with bone metastases are referred with an actual
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until a pathologic fracture occurs. The treatment aims to prevent the pathologic fractures, restore the cortical thickness, and contain the recurrence. Multiple treatments have been proposed ranging from observation only to open curettage, and no
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), secondary osteoarthritis, tumor volume, distance from the joint cartilage, reoperation, follow-up time, Campanacci grade, and pathological fracture. Evaluation of the knee osteoarthritis stage was performed using the Kellgren and Lawrence classification
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Department of Orthopaedics and Traumatology, Emergency University Hospital Bucharest, Romania
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move the right hip. These symptoms occurred while trying to chase after public transportation. Upon initial radiographic examination of the pelvis, a pathological fracture was observed at the specific location of interest (A). Following further medical
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-old woman with bilateral subtrochanteric pathological fractures secondary to a cervical neoplasm, recently treated on the left side with a cephalointramedullary nail. (B) Postoperative image of the right femur after fracture fixation with a long
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the curettage technique, and even though Campanacci grade III tumours seem to recur more often after curettage, the recurrence rates herein presented are often low. In this setting, it is important to highlight a trend toward pathologic fractures at
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However, studies have also demonstrated the clonal neoplastic nature of the cyst. 56 Patients usually present with pain, swelling, enlarging mass and even a pathologic fracture in the elbow area. The symptoms are usually presented for several weeks
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surgical control or delayed (secondary) amputations after a failed limb-sparing procedure. Another instance when amputation can be performed is when it serves as a palliative measure for non-resectable tumours complicated with pathological fractures, soft