CLINICAL SPECTRUM OF PATHOLOGICAL FRACTURES

Objective: To determine the clinical spectrum of pathological fractures. Patients And Methods: In this tertiary care two years hospital based cross study (2015-2017) explored 50 cases of pathological fractures treated. All patients with the fractures occurring spontaneously or with trivial trauma, suffering from tumors or tumorous condition, patients having hereditary condition like osteogenesis imperfect, the fractures in patients with associated pathological process like infection and the fractures in patients with nutritional deficiency and hormonal imbalance. Detailed present, past, family and personal history were obtained. General, systemic, and local examination were carried out. Relevant blood and urine investigations were done. X-ray of the affected bone and skeletal survey were done. CT scan was made available whenever necessary. Ultrasonic heel densitometer was carried out when required whereas the frequency / percentages (%) and means ±SD computed for study variables. Results: During two year study period total fifty patients having pathological fractures were explored and study. The mean ± SD for age (yrs) of population was 65.32±6.31. The common etiologies identified as primary bone tumors 10 (20%) and osteoporosis 17 (34%) while regarding the treatment conservative observed in 32 (64%) and surgical intervene 18 (36%). Conclusion: Osteoporosis was the most common cause of pathological fracture followed by tumor was the second most common. Keywords: Pathological fracture, osteoporosis and bone tumou