Spots Global Cancer Trial Database for Metastatic Pathologic Fractures, Short Term Results

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Trial Identification

Brief Title: Metastatic Pathologic Fractures, Short Term Results

Official Title: Metastatic Pathologic Fractures: Short Term Results of Endoprosthetic Reconstruction, Intramedullary Nail and Open Reduction Internal Fixation

Study ID: NCT05825456

Conditions

Pathologic Fracture

Bone Metastases

Metastatic Cancer

Interventions

endoprosthetic reconstruction

Intramedullary nailing

Open reduction internal fixation with plate and screws

Study Description

Brief Summary: This is a single center prospective study to compare the short term results of prosthesis, nail and plate-screw surgeries for metastatic pathologic fractures.

Detailed Description: The most common bone tumor in elderly is metastatic bone tumors. With the prolonged life expectancy in cancer patients, the management of the metastases became an essential topic. Pathological fractures should be examined and managed with a different perspective. They usually cannot be healed by conservative methods and require surgical intervention. The primary goals of surgical intervention are to relieve pain and mobilize the patient as soon as possible. The aim of the study is to compare the short-term functional endoprosthetic recontruction, intramedullary nailing and open reduction internal fixation. The primary tumor of the patient, applied chemotherapy and radiotherapy, Mirel risk score, Charlson comorbidity index, and PathFx 3.0 survival will be evaluated preoperatively. The type of the operation will be decided at the multidisciplinary tumor council of ankara University.