International journal of surgery case reports
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Int J Surg Case Rep · Jul 2021
Pathologic femur fractures following surgery and radiotherapy for soft tissue sarcomas: A case series.
Combined limb-sparing surgery and radiation therapy are considered the standard of care for higher grade soft tissue sarcomas (STS) of the extremities. The risk of post-radiation fracture after this treatment modality is well known, but still underestimated, and can end in serious long-term secondary problems years later. ⋯ The risk of pathological fractures at the former treatment site is high, even years later. The rate of non-unions after a difficult fracture treatment in this particular clinical situation seems to be very high and may be associated with severe complications.