Metastatic Bone Disease
A 68-year-old man with metastatic lung carcinoma presents with a pathologic fracture of the right femoral shaft. He was ambulatory before the fracture and has an expected survival of 6-9 months. Staging shows additional small lesions in the ipsilateral femur proximally and distally. There is no acetabular involvement. Regarding surgical management of femoral shaft pathologic fractures:
Mark each as TRUE or FALSE
Intramedullary nailing is the treatment of choice for femoral shaft pathologic fractures; the nail s...
Cement augmentation can be used to enhance fixation in areas of significant lytic destruction; the t...
Plate fixation is preferred over intramedullary nailing for femoral shaft pathologic fractures becau...
Reconstruction nailing with cephalomedullary design is preferred when proximal femoral lesions exist...
Postoperative radiotherapy (typically 30 Gy in 10 fractions or 8 Gy single fraction) is essential fo...
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Click T (True) or F (False) for each option