Objective: To evaluate the epidemiological data and available treatments for fractures secondary to radiotherapy treatment.
Methods: Identification of publications on pathological skeletal fractures previously exposed to ionizing radiation.
Results: The incidence of fractures after irradiation varies from 1.2% to 25% with a consolidation rate of 33% to 75%, being more frequent in the ribs, pelvis, and femur. The time elapsed between irradiation and fracture occurs years after radiotherapy. Risk factors include age above 50 years, female gender, extensive periosteal detachment, circumferential irradiation, tumor size, and anterior thigh location. The etiology is still uncertain, but cellular disappearance, reduction of bone turnover and activity were observed hematopoietic as possible causes of failure of consolidation.
Conclusion: There is no consensus in the literature on the factors related to the development of fractures, with radiation dose, previous tumor size and periosteal detachment being suggested as potential factors.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1590/1806-9282.65.6.902 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Penile reconstruction after complete bladder exstrophy repair.
J Pediatr Urol
June 2024
Pediatric Urology Division, Urology Department, Assiut University, Assiut, Egypt.
Introduction: The decreased penile length in patients born with bladder exstrophy (BE) results partly from pubic symphysis diastasis and the separation of the corporal bodies. Also, intrinsic shortening of anterior corporal compartment, residual penile dorsal curvature, and postsurgical scarred skin share in creation of short penile length.
Objective: The goal of this study was to look at whether adult men who had bladder exstrophy (BE) surgery as babies needed and benefited from penile reconstruction, which included penile lengthening and repair of any redo penile pathology that was present at the same time.
"Coronal Split/Overlap Repair" Patellar Tendon Shortening in Skeletally Immature Patients.
JBJS Essent Surg Tech
February 2024
Paediatric Orthopaedic Department, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates.
Background: "Coronal split/overlap repair" patellar tendon shortening (PTS) is a technique that is utilized to treat patella alta and can be combined with distal femoral extension osteotomy (DFEO) for the treatment of crouch gait in skeletally immature patients with cerebral palsy.
Description: The patellar tendon is split in the coronal plane. The ventral patellar tendon flap is released from its patellar attachment and is reflected distally over its tibial attachment, exposing a dorsal flap.
Wedgeless V-Shaped Osteotomy of the Distal Medial Femur with Locking Plate Fixation for Correction of Genu Valgum in Adolescents and Young Adults.
JBJS Essent Surg Tech
November 2023
Pediatric Orthopaedic Division, Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi, India.
Background: Genu valgum is a common disorder affecting adolescents and young adults. Treatment of this disorder requires restoration of normal mechanical axis alignment and joint orientation, for which it is important to assess whether the deformity arises from the distal femur, knee joint, or proximal tibia. Most commonly, the deformity originates from the distal femur, and various osteotomies of the distal femur have been described.
View Article and Find Full Text PDFFreeing and Stretching the Palatine Vessels From the Greater Palatine Foramen in Palatoplasty.
J Craniofac Surg
December 2023
Department of Anatomy, Ewha Womans University College of Medicine, Seoul, and Ewha Medical 49 Academy, Ewha Womans University Medical Center, Seoul, Republic of Korea.
The aim of this paper is to present how to free and stretch the palatine vessels from the greater palatine foramen in palatoplasty. After a mucoperiosteal flap is raised, periosteal elevator is passed behind the palatine vessels to detach the periosteum around the vessels. Then, a blunt right-angle instrument is placed behind the palatine vessels, and the vessels are pulled from the foramen in the superior aspect, slightly forward (63 degrees) and medially (19 degrees) according to the direction to the greater palatine canal (GPC).
View Article and Find Full Text PDFOrbital Roof Decompression and Transposition of Orbital Contents for Treatment of Orbital Deviation Associated With Fibrous Dysplasia.
J Craniofac Surg
October 2024
Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
A 25-year-old male was admitted to our institute complaining of caudal deviation of orbit. Surgery was performed through a coronal incision, a subtarsal incision, and a lynch incision. The periosteum of the orbital roof was raised, and the supraorbital wall was shaved cephalad in reference to the nonaffected side.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!