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Implant failure of long proximal femoral nail antirotation in patient with subtrochanteric pathologic fracture

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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.

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References

  1. Silverberg E (1986) Cancer statistics. CA Cancer J Clin 36:9–25

    Article  PubMed  CAS  Google Scholar 

  2. 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

    PubMed  CAS  Google Scholar 

  3. 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

    Google Scholar 

  4. 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

    PubMed  CAS  Google Scholar 

  5. 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

    PubMed  Google Scholar 

  6. Beals RK, Lawton GD, Snell WE (1971) Prophylactic internal fixation of the femur in metastatic breast cancer. Cancer 28:1350–1354

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. Zafiropoulos G, Pratt DJ (1994) Fractured Gamma nail. Injury 25:331–336

    Article  PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

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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.

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Correspondence to Kap Jung Kim.

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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

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  • DOI: https://doi.org/10.1007/s00590-011-0795-9

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