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The method of back-projection was used to estimate the unobserved past incidences of various pathologic fractures, which are expressed as the proportions of the target population in Taiwan.
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Of the 3,094 studied subjects, 5,244 incident cases of various categories of pathologic fracture were identified within one year (i.e., in 2008, Taiwan) (Table 1), which included 3,003 recognized cases of fracture in six major locations and 2,241 almost concomitant with the above but unspecified cases.
Fractures that occur because of preexisting disease are called pathologic fractures.
Cancer-associated pathologic fractures (n = 5).
Pathologic fractures are caused by diseases that lead to weakness of the bone structure.
Treatment of pathologic fractures may be difficult because of previous radiation therapy.
Among these five patients (6.4 %), two men and three women reported pathologic fractures.
Pathologic fractures in patients with bone metastases are a common problem in clinical orthopaedic routine.
However, pathologic fractures in postoperative radiation therapy patients are different from those in other patients with a pathologic fracture; they often exhibit reduced blood supply and poor condition of the surrounding soft tissue due to irradiation.
In addition, intraoral fistula occurred for all patients whereas extraoral fistula and pathologic fractures occurred to 5 patients.
In one study, it was reported that 81.8 % of mandibular pathologic fractures were associated with radiolucent lesions.
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