Mirels H. Metastatic disease in long bones: A proposed scoring system for diagnosing impending pathologic fractures. 1989. Clin Orthop Relat Res. 2003;(415 Suppl):S4-13. 

Jawad MU, Scully SP. In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. Clin Orthop Relat Res. 2010;468(10):2825-7.

Damron TA, Morgan H, Prakash D, Grant W, Aronowitz J, Heiner J. Critical evaluation of Mirels' rating system for impending pathologic fractures. Clin Orthop Relat Res. 2003;(415 Suppl):S201-7.

Dr. Hilton Mirels

Mirels’ Criteria for Prophylactic Fixation

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Predicts risk of pathologic fracture in patients with long bone metastasis.

Mirels’ Criteria

Mirels’ Criteria for Prophylactic Fixation predicts risk of pathologic fracture in patients with long bone metastasis.

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Mirels’ Criteria for Prophylactic Fixation