Pathological fractures

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Abstract

♦ Pathological fractures should be recognized before treatment, but often are not.♦ If solitary and potentially malignant, pathological fractures should be investigated prior to treatment.♦ Inappropriate management may compromise outcome.♦ Maximize patient fitness for surgery.♦ Preoperative assessment to look for other tumours e.g. CT scan of chest and abdomen.♦ Biopsy if possible before definitive management.♦ Aim to relive pain and restore function.