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Surgery and Functional Results of Pathological Fractures of Long Bones of Lower Extremities in Malignant Tumors
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Original Article
VOLUME: 49 ISSUE: 1
P: 13-20
2016

Surgery and Functional Results of Pathological Fractures of Long Bones of Lower Extremities in Malignant Tumors

Acta Haematol Oncol Turc 2016;49(1):13-20
DOI: 10.5505/aot.2016.65487
Halil Akdeniz
İsmail Burak Atalay
Volkan Kaya
Emre Özanlağan
Güray Toğral
1. Department Of Orthopedics And Traumatology, Ministry of Health Ankara Oncology Training And Research Hospital, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2015-11-02T13:32:02
Accepted Date: 2016-03-07T09:09:55
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Abstract

INTRODUCTION

The aim of this study is to analyze the surgical and functional results of malign pathologic fractures of long bones of lower ekstremity and the factors releated with this results.

METHODS

45 patients (24 male and 21 female) were included in the study who were treated with the diagnosis of pathologic fractures in the lower extremities. Mean age of the patients were between 14-80 years and average 59.8 years. Patients were followed up with a mean period of 10.3(1-60) months. 32 patients had proximal femur, 7 patients had femoral diaphysis and 6 patients had distal femoral fractures.

RESULTS

Enneking’s MSTS classification system was used for functional assesment. The average postoperative score was 57.6(% 26- % 93) in all series. This average score was % 57.3 for proximal femur, % 61.7 for distal femoral diaphysis and % 54.6 for distal femur. Excellent results were recorded for 3(% 6), good results for 12(% 27), average results for 16 (% 36)and poor results for 14 (% 31) patients. The results were similar with literature.

DISCUSSION AND CONCLUSION

The treatment algorithm and proper surgical technique is still a major problem in long bone metastases. While deciding the treatment method, we should use the basic oncologic rules and perform mutidisciplinar approach. The aim is to decrease pain and to provide a weight bearing extremity.