Work

Concurrent pathologic femoral shaft fracture in bone metastasis and acute myocardial infarction: a case report

Year: 2025

Type: article

Abstract: An 86-year-old woman with a history of hepatocellular carcinoma was brought to our emergency department after an indoor fall. Her chief complaint was pain in the left thigh and chest. The patient was diagnosed with a pathological femoral shaft fracture, bone metastasis, and acute myocardial infarction. She underwent preoperative embolization and percutaneous coronary intervention, followed by internal fixation on the same day as the injury. The patient was discharged without postoperative myocardial infarction and was able to walk independently using a walker. Femoral diaphyseal fractures and coronary events require urgent intervention, and their coexistence makes it particularly difficult to determine the treatment sequence and timing. In addition, if the fracture is pathological due to bone metastasis, management becomes even more challenging. A multidisciplinary team is essential for the successful management of such complex cases.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1108

Authors: Yusei Katsuyama, Shinichiro Nakamura, Kentaro Sasaki, Tomoki Saito, Kenji Takahashi

Institutions: Kyoto Prefectural University of Medicine, Fukuchiyama City Hospital

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000