Postradiation Fractures after Combined Modality Treatment in Extremity Soft Tissue Sarcomas

Figure 1

Postradiation fracture in a 55-year-old male who had excision of a left thigh liposarcoma and postop radiation (64 Gy). The fracture occurred 4 years after treatment. (a) He was initially treated with an intramedullary device, (b) which eventually broke due to nonunion at the fracture. The patient went on to revision with a sliding hip screw and side plate with a free fibula transfer. (c) This also went on to failure at the site of the postradiation fracture. (d) He was then revised to a proximal femoral replacement, which remains stable.

(a)

(b)

(c)

(d)