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
Julie J. Willeumier, Yvette M. van der Linden, Michiel A.J. van de Sande, and P.D. Sander Dijkstra
Elisa Pala, Alberto Procura, Giulia Trovarelli, Antonio Berizzi, and Pietro Ruggieri
(range: 51.4–91.9 years old) ( Table 1 ). Five patients presented multiple lesions requiring nailing: 52 IM nail fixations were performed. Indications to treatment were (i) impending fracture (21 cases) or pathologic fracture (30 cases) due to long bone
Stijn E. W. Geraets, P. Koen Bos, and Johan van der Stok
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
Miklós Szendrői, Imre Antal, Attila Szendrői, Áron Lazáry, and Péter Pál Varga
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
Thomas Tampere, Matthieu Ollivier, Christophe Jacquet, Maxime Fabre-Aubrespy, and Sébastien Parratte
inadequate reduction of the articular step-off, secondary loss of reduction and material cut-out. 2 – 17 Thirdly, use of TKA might be indicated for pathological fractures of the distal femur and/or tibia in cases with poor bone stock or profound condylar
Victor Lu, Maria Tennyson, Andrew Zhou, Ravi Patel, Mary D Fortune, Azeem Thahir, and Matija Krkovic
Fragility ankle fractures are traditionally managed conservatively or with open reduction internal fixation. Tibiotalocalcaneal (TTC) nailing is an alternative option for the geriatric patient. This meta-analysis provides the most detailed analysis of TTC nailing for fragility ankle fractures.
A systematic search was performed on MEDLINE, EMBASE, Cochrane Library, and Web of Science, identifying 14 studies for inclusion. Studies including patients with a fragility ankle fracture, defined according to NICE guidelines as a low-energy fracture obtained following a fall from standing height or less, that were treated with TTC nail were included. Patients with a previous fracture of the ipsilateral limb, fibular nails, and pathological fractures were excluded. This review was registered in PROSPERO (ID: CRD42021258893).
A total of 312 ankle fractures were included. The mean age was 77.3 years old. In this study, 26.9% were male, and 41.9% were diabetics. The pooled proportion of superficial infection was 10% (95% CI: 0.06–0.16), deep infection 8% (95% CI: 0.06–0.11), implant failure 11% (95% CI: 0.07–0.15), malunion 11% (95% CI: 0.06–0.18), and all-cause mortality 27% (95% CI: 0.20–0.34). The pooled mean post-operative Olerud–Molander ankle score was 54.07 (95% CI: 48.98–59.16). Egger’s test (P = 0.56) showed no significant publication bias.
TTC nailing is an adequate alternative option for fragility ankle fractures. However, current evidence includes mainly case series with inconsistent post-operative rehabilitation protocols. Prospective randomised control trials with long follow-up times and large cohort sizes are needed to guide the use of TTC nailing for ankle fractures.
Catalin Cirstoiu, Bogdan Cretu, Sergiu Iordache, Mihnea Popa, Bogdan Serban, and Adrian Cursaru
-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
Joaquim Soares do Brito, André Spranger, Paulo Almeida, José Portela, and Irene Barrientos-Ruiz
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
Olga D. Savvidou, Panagiotis Koutsouradis, George D. Chloros, Ioannis Papanastasiou, Thomas Sarlikiotis, Aggelos Kaspiris, and Panayiotis J. Papagelopoulos
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
Amer Sebaaly, Maroun Rizkallah, Falah Bachour, Firas Atallah, Pierre Emmanuel Moreau, and Ghassan Maalouf
vertebral body osteomyelitis; and irreversible coagulopathy. Relative contraindications were: presence of radiculopathy; bone retropulsion against neural structures; > 50% collapse of vertebral body height; and multiple pathological fractures. The retained