Multiple Myeloma with Subtrochanteric Femur Fracture and Shaft of Humerus Fracturetreated with Single Stage IMIL Nailing: A Case Report

Abstract

Plasma cell dyscrasia include multiple entities from benign plasmacytoma to malignant multiple myeloma. According to literature, about 45% of patients with multiple myeloma experience a fracture in the first year after diagnosis and 65% of patients experience a fracture during the course of the disease. The pathological fracture requires immediate fixation according to Mirell’s scoring considering the natural course of the disease and short life expectancy associated with multiple myeloma. Here, we would like to specify a case of multiple myeloma with extensive lytic lesions throughout the body, wherein subtrochanteric femur and shaft of humerus required fixation according to Mirell’s scoring ⁽²⁾. We did a single stage intramedullary nailing for subtrochanteric femur fracture and shaft of humerus with 12 and 10 Mirell’s score respectively, with no complications in the outcome with regards to pain and quality of life, the fractures go on to unite well.