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radiological, clinical, and temporal criteria. Classically, these were considered ‘pseudarthrosis’ due to the abnormal motion identified in severe non-unions in long bones, developing a flexible fibrotic union or even a true neo-articulation at the fracture
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. Despite the excellent long-term track-record, undesirable thigh pain and proximal femoral bone loss secondary to stress-shielding were observed. 5 - 7 Other designs targeted more proximal metaphyseal fixation, with proximal porous-coated tapered
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probably present an even higher number. Due to constantly improving treatments, the duration of the palliative phase is prolonged. Longer survival unfortunately gives each patient more time to develop metastases. Bone metastases of the long bones may lead
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develop bone metastases. 2 , 3 These bone metastases cause clinical symptoms that require treatment in more than half of these patients. 4 Clinical symptoms occurring due to long bone metastases include pain, with 10–25% of patients presenting
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Department of Orthopaedics, Aarhus University Hospital, Palle Juul-Jensens Boulevard, Aarhus, Denmark
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describe swirling of the columns. Discussion Recent advances in epiphysiodesis techniques have opened the possibility of using guided growth to correct rotational deformities in long bones of growing children. This scoping review found a total of
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bones of the extremities. Metastatic diseases of the long bones Diagnostic algorithm Many authors 2 - 7 recommend rather similar diagnostic work-up protocols for potential metastatic diseases. These flow charts help orthopaedic surgeons
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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, should be treated with extensive resections and reconstructions to considerably improve long-term life expectancy. Regarding multiple metastatic disease in which a bone metastasis is in the pre-fracture stage, prophylactic fixation has proven to be cost
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with the ‘standard’ practice of IM nailing in the treatment of metaphyseal fractures owing to the long lever arm, metaphyseal enlargement, and epiphyseal–metaphyseal fixation problems, which make reduction and controlling angulation of the shorter bone
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Introduction Bones are a frequent location of metastases from carcinomas; the most common sites are the spine and pelvis, followed by the long bones, especially the proximal femur ( 1 ). All types of malignant tumors have the potential to
IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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Introduction Bone loss is a major concern of revision total hip arthroplasty (THA). While on the femoral side the problem is commonly solved by passing the defect through long stems seeking distal fixation in the healthy diaphysis, on the
