caa a22 4500 469114762 CHVBK 20180323133121.0 cr unu---uuuuu 170328e19920201xx s 000 0 eng 10.1007/BF00443471 doi (NATIONALLICENCE)springer-10.1007/BF00443471 Pathological fractures of the femur: improvement of quality of life after surgical treatment [Elektronische Daten] [P. Broos, P. Rommens, M. Vanlangenaker] Summary: Radiotherapy and chemotherapy will result in an increase in the number of pathological fractures that occur, principally as a consequence of metastatic disease. These lesions are painful, especially at the level of the femur, and are apt to make invalids of the patient. If surgical intervention is applied as quickly as possible, (compound double-plate osteosynthesis or endoprosthesis), preferably before the lesion becomes a real fracture, the patient still has a chance of keeping a good, painless and well-functioning limb. This report concerns 40 patients with 48 pathological femoral fractures. Seventy-five percent of the lesions were localised at the level of the proximal extremity (femoral head or neck, trochanteric region, subtrochanteric region). Twenty cases were treated with an endoprosthesis, 28 by osteosynthesis; 4 patients died within the 1st month after surgery. In two of them, the data when considered postfacto were judged to show that any surgery would be too risky. Forty-five percent of patients survived for more than 1 year after operation. The average survival time of the whole group was slightly over 10 months. One patient is still going strong more than 35 months after surgery. Survival time was essentially dependent on the primary underlying malignant process. The results obtained have been more than reasonable: in 67% recovery of walking capacity, in 75% an effective fight against the pain. Springer-Verlag, 1992 Broos P. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut Rommens P. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut Vanlangenaker M. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/2(1992-02-01), 73-77 0936-8051 111:2<73 1992 111 402 https://doi.org/10.1007/BF00443471 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00443471 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Broos P. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut NATIONALLICENCE 700 1- Rommens P. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut NATIONALLICENCE 700 1- Vanlangenaker M. Surgical Clinic, Department of Traumatology and Emergency Surgery, Katholieke Universiteit Leuven, Belgium aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/2(1992-02-01), 73-77 0936-8051 111:2<73 1992 111 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer