Typical Acute Traumatic Fracture Healing in an 83-Year-Old Man Undergoing ²²³Ra Treatment for Prostatic Cancer Bone Metastases

We report the case of a fracture healing after(223)Ra in an 83-year-old wheelchair-bound man with prostate castration-resistant adenocarcinoma treated due to uncontrollable pain from widespread bone metastases. The patient fractured both right tibia and fibula 15 days prior to the first(223)Ra cycle. After the first cycle, there was complete remission of his metastatic bone pain; after the second cycle, he began walking with support, which helped improve fracture healing; and after the third cycle, he presented complete mobility. Posttreatment images showed consolidated fractures. By improving metastatic bone pain with(223)Ra, consolidation of the insufficiency fracture was possible.