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KMID : 0613319970030040236
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Journal of the Korean Bone and Joint Tumor Soceity
1997 Volume.3 No. 4 p.236 ~ p.242
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Surgical Treatment of Pathologic Fracture of the Long Bone due to Metastatic Tumor
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Shin Kyoo-Ho
Park Jai-Hyun
Hahn Soo-Bong
Jahng Jun-Seop
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Abstract
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With recent prominent advances in orthopaedic procedure and oncologic treatment of terminal cancer patients, it is generally agreed that aggressive treatment should be undertaken for patients with pathologic fracture. We treated 55 pathologic or impending pathologic fractures in 50 patients from April, 1989 to September, 1996. The most frequent site of pathologic fracture in the long bone was the femur(37 cases, 68%), and followed by humerus(15 cases, 27%), tibia(2 cases), and ulna(1 case). Also, the main primary cancers were lung(15 patients, 30%), breast (7 patients, 14%), and liver(7 patients, 14%). The result of postoperative pain relief status was graded as fair to excellent in 37 patients (74%) and the postoperative ambulatory status of pathologic (impending) fractures(37 cases) in lower extremity was evaluated and weight bearing with support to full weight bearing was possible in 26 cases (70%).
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KEYWORD
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Metastatic tumor, Long bone, Surgery
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