Many diseases that affect the metabolism typically result in bone softening because the osteoid, which is the bone matrix, does not calcify how it should, resulting in bones that bend, twist and fracture. The disease, which is comparatively rare, affect's women, principally. 2īone softening is a condition which occurs almost only in adults, and is due to a loss of the lime-salts of the bone. There are neoplastic and non-neoplastic diseases that cause pathological fractures. Pathological fractures occur as a result of an underlying process the so-called bone softening disease that weakens the mechanical properties of bone. 1In normal bone, shear stresses are distributed evenly in cross section. Once the bone mass has been achieved, bone formation generally equal to bone resorption and bone density remains unchanged. [This process occurs throughout a life span. Keywords: Fractures prophylactic fixation, Pathological fractures Impending fractures, Fixation IntroductionĬhanges in the bone are the results from a continuous process of bone resorption and bone formation known as “bone remodeling” which involves bone growth, changes in bone density and calcium level regulation in the body. It allows independent function and avoids irretrievable catastrophes. It helps early an ambulation and prevents fracture's complication. Prophylactic fixations have decreased morbidity compared with patient's sustained fractures before fixation.Ĭonclusion: Surgical fixation of fractures in weight-bearing long bones with impending fractures provides pain relief, and a functionally stable and durable construct. Orthopedic surgeons who look after patients with skeletal lesions should focus on proactive treatments designed to prevent pathologic fractures before they occur. That time included preoperative period of investigation and preparation and post operative surgery and rehabilitation.ĭiscussion: pathological fractures create a serious morbidity in patients with bone disease. The mean duration of hospitalization was 21 days (range from 7 to 35 days). Only one patient (2%) was not able to walk, and he was not cooperative for unknown reason. Three patients (6%) using wheel chair, and they were on renal dialysis. 35 (71.5%) of patients with impending fracture were ambulatory after therapy and able to walk outdoor while 10 (20.5%) of patients could walk inside door. Results: Most patients had significant relief of pain. Different types of fixation either surface plating (dynamic hip screws), medullary (Gamma nails or locking nail) or external fixation in cases unsuitable for surgery was used according to the type and the site of the deformity in combination of management of primary condition. The entire patient with fractures risks prophylactic fixation has done. Patients and method: Between 20, study on forty-nine patient (35 females and 14 males) between the age of 20 and 65 years with an average age of 49.9 years with expected possibility of fractures of lower extremities. The aim is to evaluate and to highlight on value of prophylactic fixation of impending fractures in abnormal bone situation to prevent occurrence of pathological fracture and its complications. There are neoplastic and non-neoplastic diseases that cause pathologic fractures. There are many conditions, which lead to bone softening. Pathologic fractures occur as a result of weakening of the mechanical properties of bone.
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