Percutaneous Fixation of Impending Fracture of the Hip

Tech Vasc Interv Radiol. 2022 Mar;25(1):100802. doi: 10.1016/j.tvir.2022.100802. Epub 2022 Jan 16.

Abstract

According to the literature, prophylactic consolidation of proximal femur lytic metastasis the is recommended when the Mirels' score is above 8. Osteoplasty (cementoplasty of proximal femur) alone provides inadequate consolidation. Various mini-invasive technics, augmented osteoplasties, have been proposed for better long-term consolidation. The aim of this review is to detail the augmented osteoplasty techniques described in the literature and to report their safeties and efficacies to prevent pathological fracture of the proximal femur. A PubMed research found 8 studies that evaluated augmented osteoplasty of the proximal femur in cancer patients. All devices demonstrate adequate safety and low rate of secondary pathological fractures.

Keywords: Hip; Impending fracture; interventional radiology; mini-invasive procedure; percutaneous fixation.

Publication types

  • Review

MeSH terms

  • Cementoplasty* / adverse effects
  • Cementoplasty* / methods
  • Fracture Fixation, Internal / adverse effects
  • Fracture Fixation, Internal / methods
  • Fractures, Bone*
  • Fractures, Spontaneous* / prevention & control
  • Fractures, Spontaneous* / surgery
  • Humans
  • Neoplasms*
  • Treatment Outcome