Vol 4 | Issue 2 | July-Dec 2019 | page: 7-10 | Sumeet S Shinde , Atul A Patil, Chetan Pradhan, Parag Sancheti
Authors: Sumeet S Shinde [1] , Atul A Patil [1], Chetan Pradhan [1], Parag Sancheti [1]
[1] Department of Orthopaedics, Sancheti Institute & Hospital Pune, Maharashtra, India.
Address of Correspondenc
Dr. Sumeet Shinde,
Sancheti Institute & Hospital Pune, Maharashtra, India
E-mail: meetshinde207@gmail.com
Abstract
Purpose: To analyze the results of surgical intervention for pathological fractures of femur.
Materials and Methods: All patients (n = 30) that underwent osteosynthesis or arthroplasty for pathological fractures of the femur between period extending from June 2015 to November 2016 were included. Data were recorded from the patients’ medical record and the outpatients’ clinics files. Primary and secondary tumors, metastases and types of pathological fractures, surgical procedures, and postoperative complications were recorded. Lower limb functional scale was used for functional evaluation at 1 year.
Results: There were 16 males and 14 females. Following pathologies were detected – 10 cases of Unicameral Bone Cyst (UBC); 5 cases of Aneurysmal Bone cyst (ABC); 2 cases of eosinophilic granuloma; 3 cases of fibrous dysplasia; 3 cases of osteosarcoma; 4 cases of multiple myeloma; 2 cases of metastases and 1 case of osteoid osteoma. Patients were treated with following surgical interventions – Application of compression plates – 9; Recon Nail – 8; Dynamic Hip Screw – 5; Hip arthroplasty– 6; Combination of nailing and plating – 2. In our study of 30 patients the mean VAS which was pre operatively- 9; was reduced to 4 at the end of 6 months and to 1 at end of 1 year. Thus showing satisfactory reduction in the pain intensity. The mean LLFS which was pre operatively 10.88 was improved to 45.55 at the end of 6 months and to 71.91 at end of 1 year. Thus showing satisfactory improvement in the lower limb function. Three postoperative complications occurred. 2 cases of superficial surgical site infection, and 1 case of death.
Conclusion: Surgical treatment of pathological fractures at the femur excellent pain relief and good functional outcome. Surgery is necessary for improving the functional outcome of such patients; however, more cases of pathological fractures should be studied for assessing the functional outcome.
Key Words: Proximal femur, Pathological fracture, Intramedullary nailing, Arthroplasty.
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| How to Cite this Article: Shinde S. Pathological fractures of femur: A study of surgical management and monitoring using Lower Limb Functional Score and VAS Score. Journal of Orthopaedics and Rehabilitation 2019 July-Dec; 4(2): 07-10. |
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