Radiation-associated Fractures


Radiation-associated fractures are insufficiency fractures of bone in areas that have been irradiated. The injury to the bone and soft-tissue envelope that occur with such fractures can be difficult to treat and may require multiple surgeries before an acceptable result is achieved. A wide range of management options exist for radiation-associated fractures, including observation, internal fixation, endoprosthetic reconstruction, and amputation. This article summarizes the literature on management options for radiation-associated fractures and is intended to assist decision making about the management of these problematic fractures, with the goal of minimizing their complications and eliminating unnecessary multiple surgeries for them.

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