Postirradiation Fractures of the Femoral Neck

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Abstract
In this study of a relatively few (24) postirradiation fractures of the neck of the femur, an effort was made to determine what type of treatment should be given. It was evident that these fractures heal with conservative treatment (13 out of 24). Simple internal fixation with pins or a triflange nail, or with a bone graft, accomplished union in eight additional patients, resulting in union in 21 of the 24 hips. Union in a varus position might have been avoided by earlier treatment and fixation. The time elapsing between treatment with roentgen rays and occurrence of fracture varied greatly. Symptoms of pain in the hip and limp indicated a fracture or an impending fracture. Metastatic lesions from the cervix and uterus to the neck of the femur appear to be rare.

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