A subtrochanteric femoral fracture 15 years after radiotherapy: a case report
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Updated: May 8, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Harish Sivasubramanian1, Gerard Ee, Manjunatha Ganiga Srinivasaiah
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Abstract:
Pathological fracture is a rare but serious complication of radiotherapy. We report on a 44-year-old man who presented with a subtrochanteric femoral fracture 15 years after radiotherapy for a soft-tissue sarcoma in the thigh. We discuss its potential causes, a scoring system to identify high-risk patients for prophylactic intramedullary nailing of the femur, and radiographic signs to identify an impending insufficiency fracture.
