$current pathological fracture$

$current pathological fracture$

Since 2008, the Italian Ministry of Health has introduced the rate of proximal femoral fracture treated within 48 hours as one of the indexes of hospital efficiency 7. This is due to patient-related factors such as pre-existing chronic comorbidities and fracture-related factors like bleeding, anaemia and exposure to proinflammatory conditions that can worsen prognosis 5, 6. This condition is associated with increased morbidity and mortality, with estimated 1-year mortality rates between 14 and 36% 1-4. The incidence is expected to increase each year due to increasing life expectancy. In fact, more than 250,000 hip fractures are estimated annually in the United States in people over 65 years old.

$current pathological fracture$

Proximal femoral fractures in elderly patients are a widely diffused entity in orthopaedic scenery. An algorithm could help standardise procedures and provide a tool for safe management of these patients. The surgeon should not rush to treat a suspicion of a pathological fracture without having performed all necessary investigations.Ĭonclusions. Orthopaedists must doubt a pathologic fracture. While bone metastases are the expression of a systemic disease, bone sarcomas have an extremely aggressive local course and an incorrect surgical procedure could heavily affect prognosis of the patient. Results. Proper imaging is essential in the management of bone metastases, along with appropriate laboratory tests and within a multi-disciplinary setting. Evidence from the literature was merged to define a flowchart for a safe clinical-diagnostic pathway. Methods. A review of the literature on diagnostic and therapeutic tools in pathologic fractures of the hip was conducted. This paper aims to investigate the current literature and to propose an algorithm to manage patients more securely. In such patients, a pathologic fracture of the proximal femur is not an uncommon event and may be consequent to bone metastases or primary tumours. Objective. Current Italian guidelines recommend surgery within 24 hours from admission for hip fractures of the elderly.

$current pathological fracture$

Current pathological fracture