Publication:
Evaluation of patients with pathological fractures treated by standard trauma principles but neglecting the underlying malign bone disease

Simple item page
dc.contributor.authorDEMİRÖZ S.
dc.contributor.authorÖKTEM F.
dc.contributor.authorCelik A.
dc.contributor.authorErdogan O.
dc.contributor.authorÖZKAN K.
dc.contributor.authorGÜRKAN V.
dc.contributor.institutionauthorGÜRKAN, VOLKAN
dc.date.accessioned2023-01-08T21:53:24Z
dc.date.available2023-01-08T21:53:24Z
dc.date.issued2022-11-01
dc.description.abstractIntroduction: There are several studies in the literature about pathological fractures but almost no in-formation about patients whose pathological fracture caused by a malignant lesion misdiagnosed and treated as a simple fracture. The aim of this study was to investigate patient and fracture characteristics, and outcomes in cases where fractures occurred in the presence of a malign pathology but were treated as simple fractures. Patients andMethods: Cases of malign bone lesions between 20 0 0 and 2020 were retrospectively re-viewed. Patients with a final diagnosis of malign bone lesion but whose pathological fractures were treated ignoring the underlying malign bone disease were included. Demographic, clinical and outcome data were collected from patient\"s medical records and analyzed.Results: Six patients met the inclusion criteria. Three of the patients were female and the cohort mean age was 56.8 +/- 21.8 years at the time of admission. Patient diagnoses were: renal cell carcinoma metas-tasis ( n = 1); colon cancer metastasis ( n = 1); chondrosarcoma ( n = 2); osteosarcoma ( n = 1); and undif-ferentiated pleomorphic sarcoma of bone ( n = 1). In all cases surgical management differed from those that should have been applied if the pathological fracture had been identified. Furthermore, surgical man-agement after definitive histological diagnosis were more aggressive compared to if the malignancy had been identified at first admission. All patients died after a mean follow-up of 16.67 +/- 11.7 months and the complication rate was 100%.Conclusion: When a pathological fracture is misdiagnosed and managed as a simple bone fracture, out-comes are extremely poor. In these situations, remedial surgery is more extensive, with increased com-plication rates and there is poor life expectancy.(c) 2022 Elsevier Ltd. All rights reserved.
dc.identifier.citationDEMİRÖZ S., ÖKTEM F., Celik A., Erdogan O., ÖZKAN K., GÜRKAN V., "Evaluation of patients with pathological fractures treated by standard trauma principles but neglecting the underlying malign bone disease", INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, cilt.53, sa.11, ss.3736-3741, 2022
dc.identifier.doi10.1016/j.injury.2022.08.052
dc.identifier.endpage3741
dc.identifier.issn0020-1383
dc.identifier.issue11
dc.identifier.pubmed36049979
dc.identifier.startpage3736
dc.identifier.urihttps://hdl.handle.net/20.500.12645/34657
dc.identifier.volume53
dc.relation.ispartofINJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectYoğun Bakım
dc.subjectCerrahi Tıp Bilimleri
dc.subjectAcil Tıp
dc.subjectOrtopedi ve Travmatoloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectIntensive Care
dc.subjectSurgery Medicine Sciences
dc.subjectEmergency Medicine
dc.subjectOrthopedics and Traumatology
dc.subjectHealth Sciences
dc.subjectYOĞUN BAKIM
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectACİL TIP
dc.subjectORTOPEDİ
dc.subjectCERRAHİ
dc.subjectCRITICAL CARE MEDICINE
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectEMERGENCY MEDICINE
dc.subjectORTHOPEDICS
dc.subjectSURGERY
dc.subjectAyak Bakımı
dc.subjectAcil Tıp Hizmetleri
dc.subjectCerrahi
dc.subjectOrtopedi ve Spor Hekimliği
dc.subjectYoğun Bakım Tıbbı
dc.subjectPodiatry
dc.subjectEmergency Medical Services
dc.subjectSurgery
dc.subjectOrthopedics and Sports Medicine
dc.subjectCritical Care and Intensive Care Medicine
dc.subjectPathological fracture
dc.subjectMisdiagnosis
dc.subjectNeglected
dc.subjectMalign bone lesion
dc.subjectSarcoma
dc.subjectMETASTASES
dc.subjectFEATURES
dc.titleEvaluation of patients with pathological fractures treated by standard trauma principles but neglecting the underlying malign bone disease
dc.typearticle
dspace.entity.typePublication
local.avesis.idde6e2b4f-0b8f-40b9-b50e-977b03b73730
local.publication.goal03 - Sağlık ve Kaliteli Yaşam
relation.isAuthorOfPublication3d00c2ca-d62a-43c1-8d54-74e3de96227b
relation.isAuthorOfPublication.latestForDiscovery3d00c2ca-d62a-43c1-8d54-74e3de96227b
relation.isGoalOfPublication9c198c48-b603-4e2f-8366-04edcfc1224c
relation.isGoalOfPublication.latestForDiscovery9c198c48-b603-4e2f-8366-04edcfc1224c
Files
Collections
Yayınlar - Eserler