弹性髓内钉结合骨水泥增强治疗多发性骨髓瘤致病性桡骨骨折:扩展弹性钉的适应症。

Zisis Ntontis, Christos Koutserimpas, Konstantinos Chaniotakis, Ioannis Stavrakakis, George Samonis, Kalliopi Alpantaki
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引用次数: 0

摘要

病理性骨折的桡骨近端是非常罕见的。本文报告一位81岁女性患者,15年前被诊断为多发性骨髓瘤,左侧桡骨近端发生病理性骨折。由于骨折靠近肘关节且缺乏邻近的健康骨组织,我们采用了一种灵活的手术干预方法,使用儿童柔性钉并注射聚甲基丙烯酸酯水泥。术后6周,患者疼痛减轻,前臂功能齐全。这种新方法可能有助于治疗其他由肿瘤转移引起的长骨病理性骨折。
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Treatment of Pathological Fracture of Radius due to Multiple Myeloma with Elastic Intramedullary Nail and Cement Augmentation: Expanding the Indications of Elastic Nails.

Pathological fractures of the proximal radius are exceedingly rare. Here, a case of an 81-year-old female diagnosed with multiple myeloma 15 years ago who suffered a pathological fracture of her left proximal radius is presented. Due to the fracture's proximity to the elbow joint and the lack of adjacent healthy bone tissue, a resourceful surgical intervention was implemented using a pediatric flexible nail supplemented by polymethacrylate cement injection. Six weeks post-operatively, the patient had alleviation of the pain with fully functional forearm. This novel approach could possibly aid in the treatment of other long bone pathological fractures due to neoplastic metastases.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
46
期刊介绍: MEDICAL IMPLANTS are being used in every organ of the human body. Ideally, medical implants must have biomechanical properties comparable to those of autogenous tissues without any adverse effects. In each anatomic site, studies of the long-term effects of medical implants must be undertaken to determine accurately the safety and performance of the implants. Today, implant surgery has become an interdisciplinary undertaking involving a number of skilled and gifted specialists. For example, successful cochlear implants will involve audiologists, audiological physicians, speech and language therapists, otolaryngologists, nurses, neuro-otologists, teachers of the deaf, hearing therapists, cochlear implant manufacturers, and others involved with hearing-impaired and deaf individuals.
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