Percutaneous Stabilization of Impending Pathological Fracture of the Proximal Femur

Abstract

POPC for impending pathological fracture of the proximal femur seems to be a promising alternative for cancer patients who are not candidates for surgical stabilization. Further studies are required to confirm this preliminary experience.

Percutaneous Image-Guided Screw Fixation of Bone Lesions in Cancer Patients: Double-Centre Analysis of Outcomes including Local Evolution of the Treated Focus

“…PIGSF is a novel technique for fracture fixation, which has recently been applied for the treatment of long bone, pelvic, and shoulder-girdle lesions in oncologic patients [16][17][18][19][20]. It offers advantages over conventional surgery including excellent visualisation of surrounding structures to avoid iatrogenic injury, and a rapid post-procedural recovery to minimise onco-therapeutic delay [16][17][18][19].…”

“…It offers advantages over conventional surgery including excellent visualisation of surrounding structures to avoid iatrogenic injury, and a rapid post-procedural recovery to minimise onco-therapeutic delay [16][17][18][19]. The technique involves precise placement of co-axial cannulated screws over a guidewire placed perpendicular to the fracture/lesion under imaging guidance, securely anchoring the distal screw in good-quality bone [16][17][18]. Prior studies have demonstrated technical feasibility, safety, and good short/mid-term outcomes [16,17,19], which appear comparable to surgery [11][12][13].…”

“…Several single-centre studies have reported good short-term outcomes and acceptable complication rates for treatment of oncologic bone lesions [16][17][18][19][20]. However, little is known regarding the local evolution of treated lesions on imaging follow-up and associated clinical consequences.…”

“…However, invasive procedures may be unsuitable for high-risk patients with complex (especially pelvic) lesions, and may result in significant complications and prolonged post-operative recovery [15,16].…”

GEP-NETS UPDATE: Interventional radiology: role in the treatment of liver metastases from GEP-NETs

“…Cementoplasty is the injection of radio-opaque acrylic cement through a percutaneously inserted needle often with the use of CT guidance (93). Percutaneous osteosynthesis is the deployment of orthopedic hardware after insertion is guided with CT or cone-beam CT imaging (94).…”