Pathologic femoral fracture after periosteal excision and radiation for the treatment of soft tissue sarcoma
Hematopoietic Stem Cell Transplantation
Human T-lymphotropic virus 1
Leukemia-Lymphoma, Adult T-Cell
Periosteal stripping and radiation therapy places the femur at high risk of pathologic fractures, especially for female patients and patients undergoing chemotherapy. When practical, the combination of periosteal stripping and radiation should be avoided.