Intramedullary stabilization of neoplastic destructive disease involving the subtrochanteric region of the femur

Neoplastic destructive disease involving the subtrochanteric region of the femur is a difficult condition to treat. This is a retrospective study of 11 femurs in 10 patients with subtrochanteric destructive lesions or pathologic fractures that were stabilized with the Zickel intramedullary device. T...

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Bibliographic Details
Published in:	Orthopedics (Thorofare, N.J.) Vol. 11; no. 12; p. 1699
Main Authors:	Fasano, Jr, F J, Olysav, D J, Stauffer, E S
Format:	Journal Article
Language:	English
Published:	United States 01-12-1988
Subjects:	Aged Early Ambulation Female Femoral Neck Fractures - etiology Femoral Neck Fractures - surgery Femoral Neoplasms - complications Fracture Fixation, Intramedullary Fractures, Spontaneous - etiology Fractures, Spontaneous - surgery Humans Male Middle Aged Retrospective Studies
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Summary:	Neoplastic destructive disease involving the subtrochanteric region of the femur is a difficult condition to treat. This is a retrospective study of 11 femurs in 10 patients with subtrochanteric destructive lesions or pathologic fractures that were stabilized with the Zickel intramedullary device. The study investigated underlying disease process, ambulatory status, operative parameters, time to death, and associated metastasis. The average survival time of the patients who died was 4.7 months. All of the patients involved in this study could be mobilized, but only 3 out of 10 were ambulatory. This study concludes that the intramedullary fixation of pathologic fractures or lesions of the subtrochanteric region does not necessarily allow ambulation, but does allow mobilization of debilitated patients.
ISSN:	0147-7447
DOI:	10.3928/0147-7447-19881201-11