Open AccessIs a Cephalomedullary Nail Durable Treatment for Patients With Metastatic Peritrochanteric Disease?
Author(s) -
David H. Chafey,
Valerae O. Lewis,
Robert L. Satcher,
Bryan S. Moon,
Patrick P. Lin
Publication year - 2018
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/corr.0000000000000523
Subject(s) - medicine , intramedullary rod , surgery , femur , femoral neck , orthopedic surgery , implant , osteoporosis
Although cephalomedullary nail fixation is often used for metastatic peritrochanteric lesions of the femur, there is concern regarding the durability of the implant in comparison to endoprosthetic reconstruction. Previous studies have reported the proportion of patients who undergo reoperation for loss of stability, but the adequacy of the construct has not been critically evaluated in a competing risk analysis that incorporates death of the patient in the calculation.