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International Orthopaedics

, Volume 15, Issue 2, pp 105–109 | Cite as

Metastatic fractures of long bones

  • O. L. Korkala
  • E. O. Karaharju
Article

Summary

Forty-two patients with a total of 52 metastatic fractures of long bones were analysed retrospectively with regard to the type of treatment, complications, general mobility and survival. Endoprosthetic replacement appeared to be better than osteosynthesis in the proximal femur, and this method should also be considered in pathological fractures of the distal femur. Nailing is indicated in fractures of the shafts of long bones in the lower limb, and also in the humerus. Osteosynthesis with a plate has only limited indications. Cement should be added to an osteosynthesis or replacement of a pathological fracture in order to achieve immediate stability. On the whole, the life expectancy of these patients has improved; five in our series lived for more than 6 years after the treatment of their metastases. The method of surgical treatment therefore needs more consideration.

Keywords

Public Health Life Expectancy Proximal Femur Distal Femur Pathological Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Analyse rétrospective de quarante deux patients présentant en tout 52 fractures métastatiques des os longs, en fonction du type de traitement, des complications, de la mobilité globale et de la survie. Le remplacement prothétique semble meilleur que l'ostéosynthèse pour l'extrémité supéireure du fémur et cette méthode de traitement peut également être envisagée pour les fractures pathologiques de l'extrémité distale. L'enclouage est indiqué dans les fractures diaphysaires du membre inférieur, et aussi de l'humérus. L'ostéosynthèse par plaque n'a que des indications restreintes. Du ciment peut être ajouté à l'ostéosynthèse ou au remplacement prothétique afin d'obtenir d'emblée la stabilisation de la fracture. Dans l'ensemble, l'espérance de vie de ces malades a augmenté; cinq dans notre serie sont encore en vie plus de six ans après le traitement de leurs métastases. Le traitement chirurgical mérite donc de plus en plus d'être pris en considération.

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Copyright information

© Springer Verlag 1991

Authors and Affiliations

  • O. L. Korkala
    • 1
  • E. O. Karaharju
    • 1
  1. 1.Department of Orthopaedics and TraumatologyUniversity Central HospitalHelsinkiFinland

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