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Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews (2021)
  • Juan A Pretell-Mazzini
  • Additional authors and institutional affiliations
Abstract
An 18-year-old man presented with a pathological fracture of the right proximal femur. Desmoplastic fibroma was diagnosed through histological studies. Surgical management involved extended intralesional curettage and fracture stabilization by open reduction with intramedullary nailing, using a short Gamma nail. At 42-month follow-up, the patient presented no limitations or recurrence. Internal fixation after prior intralesional curettage is a valid treatment strategy for pathological fractures in young patients. A short nail was chosen to prevent direct tumor cell seeding throughout the femur and future recurrence. Fracture consolidation was achieved because of the healing potential of a young patient.
Publication Date
June 2, 2021
Citation Information
Juan A Pretell-Mazzini and Additional authors and institutional affiliations. "Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture" Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews Vol. 5 Iss. 6 (2021) p. e21.00055 - e21.00057 ISSN: 2474-7661
Available at: http://works.bepress.com/juan-pretell/13/