髓腔内假体治疗放射相关股骨骨折1例。

Q4 Medicine JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.23.00334

Joshua D Johnson, Humaid Al Farii, Valerae O Lewis

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引用次数: 0

摘要

病例：72岁女性大腿未分化多形性肉瘤接受新辅助化疗和放疗。她接受了广泛切除，并计划进行预防性股骨固定。然而，由于COVID-19大流行，预防性固定被推迟。不幸的是，在走出电梯时，她的股骨骨折了。骨折采用骨水泥骨间假体治疗。3年随访显示固定稳定，无任何异常。结论：术后骨折治疗具有挑战性。延迟愈合、不愈合和感染与内固定有关。据我们所知，这是首次报道骨间假体用于放射相关股骨骨折的初步治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Treatment of a Radiation-Associated Femur Fracture with an Intercalary Endoprosthesis: A Case Report.

Case: A 72-year-old woman with undifferentiated pleomorphic sarcoma of the thigh received neoadjuvant chemotherapy and radiotherapy. She underwent wide resection and was scheduled for prophylactic fixation of the femur. However, prophylactic fixation was deferred secondary to COVID-19 pandemic. Unfortunately, when stepping out of an elevator, she sustained femur fracture. The fracture was treated with a cemented intercalary endoprosthesis. Three-year follow-up reveals stable fixation without any failure.

Conclusion: Postradiation fractures are challenging. Delayed union, nonunion, and infection are associated with internal fixation. To the best of our knowledge, this is the first report of intercalary endoprosthesis used for primary management of radiation-associated femur fracture.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.