Treatment of impending pathological fractures of the femur with flexible intramedullary nails

Thirty-nine patients with fifty impending pathological fractures of the femur were prophylactically stabilized with flexible intramedullary nails. Indications included lesions causing unremitting pain and either measuring greater than 2.5 cm in diameter or involving more than 50% cortical destructio...

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Published inOrthopedics (Thorofare, N.J.) Vol. 7; no. 11; pp. 1682 - 1688
Main Authors Dobozi, W R, Dvonch, V M, Saltzman, M L, Beigler, D F, Belich, P
Format Journal Article
LanguageEnglish
Published United States SLACK INCORPORATED 01.11.1984
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Summary:Thirty-nine patients with fifty impending pathological fractures of the femur were prophylactically stabilized with flexible intramedullary nails. Indications included lesions causing unremitting pain and either measuring greater than 2.5 cm in diameter or involving more than 50% cortical destruction. Painful lesions not meeting these radiographic criteria were also considered for prophylactic nailing if radiation therapy failed to relieve pain. Ninety-five percent of patients experienced marked pain relief after nailing, and 92% were ambulatory with or without assistive devices at discharge. Complications included one fracture at the nail insertion site and three cases with nondisabling knee pain. There were no infections.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Editorial-2
ObjectType-Commentary-1
ISSN:0147-7447
1938-2367
DOI:10.3928/0147-7447-19841101-05