Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

A total of 73 consecutive intramedullary femoral nails were inserted for metastatic disease of the femur; 43 were reamed and 30 were solid nails. The two groups were similar with regards to age, type of primary tumour, anatomical site, acute or 'impending' fracture and postoperative survival. The 'solid' nail offers a satisfactory alternative form of stabilisation for metastatic disease of the femur with rates of implant failure which are comparable with the reamed nail. In this series bilateral nailing was not associated with any increase in mortality. Contrary to other reports, imposing a delay in patients with pain and a short life expectancy seems unjustified. The use of the 'solid' femoral nail does not prevent sudden death due to massive fat embolism.

Original publication

DOI

10.1016/s0020-1383(99)00195-3

Type

Journal article

Journal

Injury

Publication Date

01/2000

Volume

31

Pages

25 - 31

Addresses

Nuffield Orthopaedic Centre, John Radcliffe Hospital, Oxford, UK. andy.cole@btinternet.com

Keywords

Humans, Femoral Neoplasms, Embolism, Fat, Fractures, Spontaneous, Postoperative Complications, Palliative Care, Fracture Fixation, Intramedullary, Bone Nails, Adolescent, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male