• Der Unfallchirurg · Jul 2014

    Review

    [Pathological fractures due to malignant bone tumors].

    • M Schultheiss, S E Traub, and A v Baer.
    • Klinik für Unfall-, Hand-, Plastische- und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Albert-Einstein-Alle 23, 89081, Ulm, Deutschland, markus.schultheiss@uniklinik-ulm.de.
    • Unfallchirurg. 2014 Jul 1; 117 (7): 583592583-92.

    BackgroundMalignant bone tumors should be treated within interdisciplinary treatment concepts. The prognosis of pathological fractures is on the whole relatively poor because the fracture is indicative of a large and highly aggressive tumor and the hematoma associated with the fracture could possibly result in spreading of the tumor into the surrounding soft tissues.ObjectivesThis article summarizes the current interdisciplinary treatment concepts under special consideration of pathological fractures in primary bone tumors.MethodsA selective literature search was carried out taking own experience into consideration.ResultsDue to the multimodal therapy approach for osteosarcoma and Ewing's sarcoma, the 5-year survival rate could be increased to 60-70 %.ConclusionThe therapeutic treatment should always be carried out within the framework of an interdisciplinary, oncological bone expert team, especially in cases of pathological fractures of malignant bone tumors.

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