[Complication in replacement of unconventional tumor prosthesis].

Acta ortopedica mexicana Pub Date : 2021-05-01
L M Jiménez-García, A Chávez-Valenzuela, C G Caballero-López, D B López-Ortiz
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Abstract

Bone metastases from a primary cancer of any part of the body are the most common form of malignant bone tumor constituting approximately 70% of them. The proximal femur being the most common extra-vertebral location for its location; 10% of patients have some pathological fracture, which is a serious complication. Currently the objectives of the treatment of a pathological fracture are: resection with adequate oncological margins, that the patient survives the surgical intervention, maintain the functionality, that the placed implant has a longer life time than the patient. The use of non-conventional hip prostheses is an excellent treatment option fulfilling the 4 established objectives, therefore this case is presented in which a right bipolar hip hemiarthroplasty is performed with a non-conventional prosthesis where it was treated with a described complication and the surgery of resolution.

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[非常规肿瘤假体置换的并发症]。
来自身体任何部位的原发性癌症的骨转移是恶性骨肿瘤最常见的形式,约占70%。股骨近端是最常见的椎外位置;10%的患者有病理性骨折,这是一种严重的并发症。目前病理性骨折治疗的目标是:切除足够的肿瘤边缘,患者在手术干预中存活,保持功能,放置的植入物比患者有更长的寿命。使用非传统髋关节假体是一种很好的治疗选择,可以满足4个既定的目标,因此本病例采用非传统假体进行右双相髋关节半置换术,治疗所述并发症和手术解决。
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