Contrary to these studies, there have been reports that have documented poorer survival in patients with a fracture thus ensuring that the debate regarding outcomes in these patients remains unresolved.[ 5 , 10 ] Further analyzing our group of patients with a pathologic fracture, we found that the rate of LR was higher for the LSS group when compared with the amputation groups (8.5% and 2.8%, respectively) though it failed to reach statistical significance ( P = 0.41).
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The Surgical Treatment and Outcome of Nonmetastatic Extremity Osteosarcoma with Pathological Fractures.
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12.1%) but this did not reach statistical significance.
Though Kim et al .,[ 9 ] in a cohort of 384 patients, found that presentation with a pathologic fracture showed a trend toward poorer survival, and it failed to reach significance.