Techniques of osteosynthesis of pathological fractures due to skeletal metastases

In using internal fixation in the treatment of fractures due to skeletal metastases the objective is to obtain rapid rehabilitation of the patient. The fixation must therefore be particularly stable and it is consequently often necessary to use acrylic cement. This treatment aims to alleviate pain, to shorten the time spent in hospital, and to restore the patient, as far as possible, to his social background, so alleviating the psychological suffering that complicates such disease states. The elective techniques for the various skeletal segments affected are reported, based on 64 cases of osteosynthesis and 26 prosthetic substitutions.