Should internal fixation or primary treatment be performed first for pathological fractures?
Disease description:
I recently heard that a relative suffered a pathological fracture, so I’d like to ask the doctor: For pathological fractures, should internal fixation be performed first, or should the underlying disease be treated first?
Doctor's answer (1)
Dr. Lin Yunfei
Pathological fractures require individualized management—whether to stabilize first or treat the underlying cause first depends on the patient’s specific condition. After a pathological fracture occurs, the primary step is to determine its underlying cause, followed by targeted treatment. For instance, conservative management—such as immobilization with a brace or cast—may be initiated initially. In more severe cases, surgical intervention should be considered first, followed by stabilization.
