Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis
Zoledronate or denosumab treatment is beneficial for cancer patients with bone metastasis. However, each agent may trigger atypical femoral fractures. Incomplete atypical femoral fractures can be successfully treated with prophylactic intramedullary nailing. On the other hand, intramedullary nailing...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/7862516 |
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| author | Hironari Tamiya Hiroki Hagizawa Takaaki Nakai Yoshinori Imura Takaaki Tanaka Kazuya Oshima Toshikazu Ito Norifumi Naka Shigeyuki Kuratsu |
| author_facet | Hironari Tamiya Hiroki Hagizawa Takaaki Nakai Yoshinori Imura Takaaki Tanaka Kazuya Oshima Toshikazu Ito Norifumi Naka Shigeyuki Kuratsu |
| author_sort | Hironari Tamiya |
| collection | DOAJ |
| description | Zoledronate or denosumab treatment is beneficial for cancer patients with bone metastasis. However, each agent may trigger atypical femoral fractures. Incomplete atypical femoral fractures can be successfully treated with prophylactic intramedullary nailing. On the other hand, intramedullary nailing for displaced atypical femoral fractures occasionally causes problems with regard to bone healing, resulting in long-term treatment. In cancer patients with poor prognosis who experience atypical femoral fractures, improvement in activities of daily living should be the priority. Thus, we performed endoprosthetic reconstruction for a displaced atypical femoral fracture in a breast cancer patient with poor prognosis to enable walking in the early stage after the operation. Two weeks after the operation, she could successfully walk. The postoperative Musculoskeletal Tumor Society score was 47%, and it had improved to almost the preoperative level before injury (50%). In conclusion, endoprosthetic reconstruction for displaced atypical femoral fractures may be a first-line treatment approach to acquire early postoperative walking ability for improving activities of daily living in cancer patients with poor prognosis. |
| format | Article |
| id | doaj-art-289f0f2b064f42c6969106657881421b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-289f0f2b064f42c6969106657881421b2025-02-03T06:13:23ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/78625167862516Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor PrognosisHironari Tamiya0Hiroki Hagizawa1Takaaki Nakai2Yoshinori Imura3Takaaki Tanaka4Kazuya Oshima5Toshikazu Ito6Norifumi Naka7Shigeyuki Kuratsu8Department of Orthopedic Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, 599-8247 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Surgery, Rinku Genaral Medical Center, 2-23 Rinku Ourai Kita, Izumisano, 598-8577 Osaka, JapanDepartment of Musculoskeletal Oncology Service, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka City, 541-8567 Osaka, JapanDepartment of Orthopedic Surgery, Bellland General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, 599-8247 Osaka, JapanZoledronate or denosumab treatment is beneficial for cancer patients with bone metastasis. However, each agent may trigger atypical femoral fractures. Incomplete atypical femoral fractures can be successfully treated with prophylactic intramedullary nailing. On the other hand, intramedullary nailing for displaced atypical femoral fractures occasionally causes problems with regard to bone healing, resulting in long-term treatment. In cancer patients with poor prognosis who experience atypical femoral fractures, improvement in activities of daily living should be the priority. Thus, we performed endoprosthetic reconstruction for a displaced atypical femoral fracture in a breast cancer patient with poor prognosis to enable walking in the early stage after the operation. Two weeks after the operation, she could successfully walk. The postoperative Musculoskeletal Tumor Society score was 47%, and it had improved to almost the preoperative level before injury (50%). In conclusion, endoprosthetic reconstruction for displaced atypical femoral fractures may be a first-line treatment approach to acquire early postoperative walking ability for improving activities of daily living in cancer patients with poor prognosis.http://dx.doi.org/10.1155/2018/7862516 |
| spellingShingle | Hironari Tamiya Hiroki Hagizawa Takaaki Nakai Yoshinori Imura Takaaki Tanaka Kazuya Oshima Toshikazu Ito Norifumi Naka Shigeyuki Kuratsu Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis Case Reports in Orthopedics |
| title | Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis |
| title_full | Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis |
| title_fullStr | Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis |
| title_full_unstemmed | Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis |
| title_short | Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis |
| title_sort | endoprosthetic reconstruction for a displaced atypical femoral fracture in a cancer patient with poor prognosis |
| url | http://dx.doi.org/10.1155/2018/7862516 |
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