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Pathologic fractures in children.

Eduardo J Ortiz1, Marc H Isler, Jorge E Navia

  • 1Department of Orthopaedic Surgery, Musculoskeletal Oncology Unit, Fundación Hospital Alcorcon, Madrid, Spain. ejortiz@fhalcorcon.es

Clinical Orthopaedics and Related Research
|March 2, 2005
PubMed
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Fractures through pediatric bone tumors vary in treatment needs. Nonossifying fibromas heal without surgery, while unicameral bone cysts and aneurysmal bone cysts often require surgical intervention for optimal outcomes.

Area of Science:

  • Pediatric Orthopedics
  • Skeletal Oncology
  • Pediatric Traumatology

Background:

  • Pathologic fractures in children present unique challenges.
  • Management strategies require tailored approaches based on lesion type.

Purpose of the Study:

  • To establish management guidelines for pediatric pathologic fractures.
  • To analyze outcomes based on bone tumor histology and location.

Main Methods:

  • Retrospective review of prospective databases from three referral centers (1987-2002).
  • Inclusion criteria: pathologic fractures in patients under 14 years.
  • Analysis of 105 patients with various bone lesions.

Main Results:

  • Nonossifying fibroma fractures achieved union with nonoperative treatment.

Related Experiment Videos

  • Unicameral bone cysts and aneurysmal bone cysts often necessitated surgical intervention.
  • Proximal femoral lesions were prone to malunion without surgical fixation.
  • Malignant lesions required initial nonoperative management followed by neoadjuvant and definitive therapy.

    • Conclusions:

    • Treatment for pediatric pathologic fractures should be individualized.
    • Nonossifying fibromas have excellent prognoses with conservative management.
    • Surgical intervention is frequently required for unicameral bone cysts, aneurysmal bone cysts, and malignant tumors to ensure fracture healing and prevent complications.