Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture

Marcos Roberto González, Mayte Bryce-Alberti, Ty Subhawong, Muhammad Hakim, Andrew Rosenberg, Juan Pretell-Mazzini

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)55-57
Number of pages3
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume5
Issue number6
DOIs
StatePublished - Jun 2 2021

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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