Treatment results of pathological fractures of the long bones in patients with breast cancer

Background. To analyze results of surgical treatment of pathological fractures in patients with long bones metastasis from breast cancer.
Methods. 22 patients with pathological fractures of the long bones were analyzed retrospectively. methods of bone reconstruction were intramedullary and plate osteosynthesis (53,8%), arthroplasty (46,2%).
Results. The overall survival was 66,2% at 1 year and 36,0% at 3 years (the mean survival time was 16,6 months). Visceral metastases have exerted statistically significant negative impact on survival (p=0,011). The complication rate after surgery was 27,3%. Quality of life and extremity function were significantly improved after surgical treatment (p=0,005).
Conclusions. active surgical treatment of long bone pathological fractures in patients with breast cancer allows to improve quality of life, get good functional results and make conditions for special treatment.