{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:08:37Z","timestamp":1751515717684,"version":"3.41.0"},"reference-count":0,"publisher":"SLACK, Inc.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:p>Pathological fracture is an unfortunate manifestation of metastatic bone disease and whenever possible, prophylactic stabilization is preferable to fixation of fracture. This article presents a case of failure of the Russell-Taylor delta reconstruction nail implant, just distal to the point of insertion of the proximal locking screws.<\/jats:p>\n          <jats:p>A 48-year-old woman presented with metastatic bone disease of her left proximal femur due to disseminated breast carcinoma. A Russell-Taylor delta reconstruction intramedullary nail was inserted with two proximal and two distal locking screws. Four years postoperatively, she presented with a fracture of the shaft of the intramedullary nail just distal to the insertion of the second proximal locking screw with a pathological fracture. At revision, the proximal end of the intramedullary nail was removed along with the proximal locking screws. A pathological fracture at the site of the failed implant was noted. It was not possible to remove the distal portion of the nail due to the presence of a concomitant fracture of one of the distal interlocking screws. A 95\u00b0 12-hole blade plate was used distal and proximal locking screws to maintain fixation as there was a high risk for further pathological fracture. The patient had an uneventful recovery with evidence of healing at the fracture site at 6 months.<\/jats:p>\n          <jats:p>Breast cancer is a common cause of metastatic bone disease of the femur. The majority of these lesions are osteolytic and a significant number are associated with structurally significant bone destruction. The lack of structural integrity gives rise to a greater risk of pathological fractures.<\/jats:p>","DOI":"10.3928\/01477447-20080401-06","type":"journal-article","created":{"date-parts":[[2009,3,12]],"date-time":"2009-03-12T21:38:41Z","timestamp":1236893921000},"page":"404-404","source":"Crossref","is-referenced-by-count":1,"title":["Prophylactic Stabilization of Proximal Femoral Metastatic Bone Disease: Reconstruction Intramedullary Nail Fracture"],"prefix":"10.3928","volume":"31","author":[{"given":"Brian M.","family":"Devitt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin J.","family":"Shelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Timlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"O'Byrne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20080401-06","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T14:43:43Z","timestamp":1751467423000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20080401-06"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.3928\/01477447-20080401-06"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20080401-06","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"type":"print","value":"0147-7447"},{"type":"electronic","value":"1938-2367"}],"subject":[],"published":{"date-parts":[[2008,4]]}}}