Elderly patients with pathological fractures in distal third femur treated with intramedullary nailing: A case series
Case Report | Volume 7 | Issue 3 | JBST September – December 2021 | Page 5-7 | Neetin P Mahajan, Pranay Pravin Kondewar, Sudip Subhash Chavan, Habung Chobing, Lalkar Gadod. DOI:10.13107/jbst.2021.v07i03.55
Author: Neetin P Mahajan [1], Pranay Pravin Kondewar[1], Sudip Subhash Chavan[1], Habung Chobing[1], Lalkar Gadod [1]
[1] Department of Orthopaedics, Grant Govt. Medical College and Sir J.J. Hospital, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Pranay Pravin Kondewar,
Department of Orthopaedics, Grant Govt. Medical College and Sir J.J. Hospital, Mumbai, Maharashtra, India.
E-mail: pranaypk1@gmail.com
Abstract
Introduction: Pathological fractures of femur are rare and are difficult to manage. Proximal weight bearing portion is more common site for these fractures and are least common in distal third of shaft. Depending on the location and origin of primary tumor or benign lesion, we decide the management. At risk, bone with impending fracture can be managed conservatively. Displaced fractures need surgical intervention. MIREL scoring is used to decide plan of management. Closed technique like intramedullary nailing is preferred over the open technique and gives good results without post-operative morbidity. Radiological investigations are necessary to find out the primary tumor source in metastatic lesions these includes plain radiographs, CT scan, MRI and PET scan. Lab investigations also aid in finding source of primary tumor.
Case Report: This is a case series of 3 patients who had a pathological fracture of the distal third shaft of femur. These patients had metastasis from primary tumor elsewhere in body. All the patients were operated with intramedullary nailing and fixation was done with the aim of reducing pain, avoiding complications such as bed sore, infection, deep venous thrombosis, and regaining the functional outcome as much as possible and improves the quality of life.
Conclusion: All 3 patients with a pathological femur fracture operated with intramedullary nailing were shown to have a significant reduction of pain, regaining of the range of motion of the knee joint and a better quality of life with improvement in performance of activities of daily living.
Keywords: Bony metastasis, pathological fracture, intra-medullary nail, palliative surgery.
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| How to Cite this article: Mahajan NP, Kondewar PP, Chavan SS, Gadod L | Elderly patients with pathological fractures in distal third femur treated with intramedullary nailing: A case series. | Journal of Bone and Soft Tissue Tumors | Sep-Dec 2021; 7(3): 5-7. |
