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Complex Pathological Femoral Fracture in a Multiple Myeloma Patient Undergoing Intertrochanteric Fixation: A Case
Ameer Khan1, Daniel K Kyeremateng2,3, Zeeshan A Khan4,5
1Cardiology, Tameside General Hospital, Ashton-under-Lyne, GBR.
Cureus
|May 1, 2024
Summary
Pathological fractures from metastatic bone disease, especially multiple myeloma, often require surgical intervention for the proximal femur. Careful surgical planning and imaging are crucial for managing these complex fractures and ensuring holistic patient care.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Metastatic bone disease frequently leads to pathological fractures, with multiple myeloma being a significant cause.
- The proximal femur is a common site for metastatic lesions, necessitating surgical management.
Observation:
- Impending pathological fractures present unique challenges in treatment decision-making.
- Optimal management relies on precise surgical planning and judicious use of imaging modalities.
Findings:
- Surgical intervention is the current standard for metastatic pathological lesions in the proximal femur.
- A multidisciplinary approach is essential for determining the most appropriate surgical strategy.
Implications:
- Effective management requires integrating orthopedic and oncological expertise.
- Holistic patient care is paramount when addressing complex pathological fractures in the context of metastatic disease.
