Mirels’ Criteria for Prophylactic Fixation
Predicts risk of pathologic fracture in patients with long bone metastasis.
INSTRUCTIONS
Use in patients with known long bone metastasis. Do not use if history of fracture or previous irradiation.
When to Use
Pearls/Pitfalls
Upper limb
+1Lower limb
+2Trochanteric region
+3Less than 1/3 of bone diameter
+11/3 to 2/3 of bone diameter
+2More than 2/3 of bone diameter
+3Blastic
+1Mixed
+2Lytic
+3Mild
+1Moderate
+2Functional
+3Result:
Please fill out required fields.