Abstract
Pathologic or impending pathologic fracture is an unhappy clinical manifestation of skeletal metastasis. If possible, stabilization of metastatic bone lesion is recommended for pain relief and improving quality of remaining lives. The long proximal femoral nail antirotation (PFNA; Synthes®, Switzerland) provides a stable construct for the fixation of pathologic or impending pathologic fracture of femoral metastatic lesion, especially petrochanteric or diaphyseal locations. Implant failure of this device is a rare complication. We report a case of implant failure of the long proximal femoral nail antirotation in patient with subtrochanteric pathologic fracture due to breast cancer with the literature review.
References
Silverberg E (1986) Cancer statistics. CA Cancer J Clin 36:9–25
Tofe AJ, Francis MD, Harvey WJ (1975) Correlation of neoplasms with incidence and localization of skeletal metastases: an analysis of 1355 diphosphonate bone scans. J Nucl Med 16:986–989
Varrialle PL, Evans PE, Sallis JG (1985) A modified technique for the fixation of pathologic fractures in the lower femur. Clin Orthop Relat Res 199:256–260
Dijstra S, Wiggers T, van Geel BN, Boxma H (1994) Impending and actual pathological fractures in patients with bone metastases of the long bones. A retrospective study of 233 surgically treated fractures. Eur J Surg 160:535–542
Keene JS, Sellinger DS, McBeath AA, Engber WD (1986) Metastatic breast cancer in the femur. A search for the lesion at risk of fracture. Clin Orthop Relat Res 203:282–288
Beals RK, Lawton GD, Snell WE (1971) Prophylactic internal fixation of the femur in metastatic breast cancer. Cancer 28:1350–1354
Tillman RM (1999) The role of the orthopaedic surgeon in metastatic disease of the appendicular skeleton. Working party on metastatic bone disease in breast cancer in the UK. J Bone Joint Surg Br 81:1–2
Zafiropoulos G, Pratt DJ (1994) Fractured Gamma nail. Injury 25:331–336
Selek H, Başarir K, Yildiz Y, Sağlik Y (2008) Cemented endoprosthetic replacement for metastatic bone disease in the proximal femur. J Arthroplasty 23:112–117
Wedin R, Bauer HC, Rutqvist E (2001) Surgical treatment for skeletal breast cancer metastases: a population-based study of 641 patients. Cancer 92:257–262
Zacherl M, Gruber G, Glehr M, Ofner-Kopeinig P, Radl R, Greitbauer M, Vecsei V, Windhager R (2010) Surgery for pathological proximal femoral fractures, excluding femoral head and neck fractures: Resection versus stabilization. Int Orthop. doi:10.1007/s00264-010-1160-z
Conflict of interest
No funds were received in support of this study. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Choy, WS., Kim, K.J., Lee, S.K. et al. Implant failure of long proximal femoral nail antirotation in patient with subtrochanteric pathologic fracture. Eur J Orthop Surg Traumatol 22, 609–612 (2012). https://doi.org/10.1007/s00590-011-0795-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-011-0795-9