# Complex Pathological Femoral Fracture in a Multiple Myeloma Patient Undergoing Intertrochanteric Fixation: A Case Report

## TL;DR

This case report discusses a complex femoral fracture in a patient with multiple myeloma and highlights the importance of surgical planning and imaging in managing such fractures.

## Contribution

The novelty lies in presenting a detailed case report emphasizing multidisciplinary approaches for managing complex fractures in multiple myeloma patients.

## Key findings

- Surgical intervention is optimal for proximal femur pathological fractures in multiple myeloma.
- Impending fractures add complexity to treatment decisions.
- Multidisciplinary approaches and imaging are crucial for effective management.

## Abstract

Pathological fractures commonly occur in patients with metastatic bone diseases, particularly multiple myeloma. The current optimal management for metastatic pathological lesions affecting the proximal femur is surgical intervention. Surgical planning and appropriate use of imaging modalities are pivotal in the appropriate treatment of pathological fractures. Impending fractures create added layers of complexity in the decision-making process. The appropriateness of different surgical interventions involves a multi-disciplinary approach and the importance of holistic healthcare is paramount in these circumstances.