Photo Credit: Sutthaburawonk
The following is a summary of “Are Closed Reduction and Percutaneous Pinning Enough in Oncology Patients with Non-Pathologic Fractures?” published in the July 2024 issue of Oncology by Baoudi.
Hip fractures in cancer patients are expected to increase, regardless of whether the fracture is pathologic. This research explores the optimal imaging modality and the role of osteosynthesis (OS) in treating leg bone neck fractures in these patients.
Researchers conducted a retrospective study to evaluate imaging modalities for determining pathologic fractures and the role of OS in treating leg bone neck fractures in patients with cancer.
They performed a retrospective review of 127 patients with leg bone neck fractures who underwent either OS or hemiarthroplasty (HA) at a single oncological referral center. Of these, 109 patients underwent angular distance measurements, while 18 patients underwent OS. Imaging results were compared to histological analysis for accuracy.
The results showed that advanced imaging improved accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) compared to radiographs alone. Angular distance and OS provided solid reconstructive options.
Investigators found that advanced imaging improved accuracy, while OS was a reliable option for patients with malignancy and no pathologic fracture.
