Management of pathological femoral fracture secondary to Ewing sarcoma in pregnancy: A case report
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Ewing's sarcoma is an ultra-orphan disease (2/1,000,000/year) which requires a multimodal therapy approach in high-volume centers. Treatment consists of pre-operative therapy followed by surgery and post-operative combination of chemo-radiotherapy. Experience with diagnosis and therapy of Ewing's sarcoma in pregnancy is very limited. We herein report the case of an atypical Ewing's sarcoma detected in the second trimester of gestation. The present study reports a case of a 24-week primigravida presenting with presented with chief complains of sudden onset of pain in left proximal thigh and inability to stand from bed on 28 feb.2017 in early mornig. Consult local doctor where x ray advice & some analgesic given. X-ray done at periphery which shows pathological subtrochantric fracture. From there she refer to higher centre for further management. An internal fixator was placed in the left femur for definitive treatment of the fracture. Normal delivery was performed at 32 gestational weeks. Following delivery, staging of cancer was conducted. Subsequently, adjuvant treatment started. The rare nature of this condition underlines once more the need for a multidisciplinary team to improve the quality of care for this highly special patient collective.
Authors and Affiliations
Dr. Vidya Sagar, Dr. Ashutosh Kumar, Dr. Manish Kumar, Dr. Kavya Abhilashi, Dr. Arnab Sinha, Dr. Saurabh Kumar, Dr. Pankaj Kumar Singh
Keywords
Related Articles
- EP ID EP500546
- DOI 10.22271/ortho.2017.v3.i3m.134
- Views 126
- Downloads 0
Heterotopic ossification after total hip arthroplasty in Indian scenario: A radiographic retrospective study
Background: The study aims at providing Incidence rates with the use of posterior approach and the role of gender in development of HO after total hip arthroplasty in an Indian scenario. Methods: 401 patients who had und...
Functional outcome in patients with distal radius fractures treated with fragment specific fixation at tertiary care teaching hospital
Introduction: Aim of this study was to study the functional outcome in patients with distal radius fractures treated with ORIF with 2.7mm distal radius plates at 6 months using PRWE score. To study how early the patients...
Functional outcome of arthroscopic single bundle anatomical anterior cruciate ligament reconstruction using quadrupled semitendinosus tendon autograft: A prospective study
Background: Functional Outcome was studied at one year following anatomical reconstruction of anterior cruciate ligament using quadrupled semitendinosus tendon autograft in patients who had presented with symptomatic tor...
Effect of intact fibula in treatment of tibail diaphyseal fractures with intramedullary nailing
Introduction: Nonunion rates among the cases with isolated tibial diaphyseal fractures ranges from 1%-17%. Studies can be found, saying that intact fibula is a good prognostic factor and will increase stability, and also...
A review of Wagner classification and current concepts in management of diabetic foot
Diabetic foot is a common complication of diabetes mellitus which affects 15% of diabetic patients in their lifetime. Effective management of diabetic foot can reduce severity of complications such as preventable amputat...