Pathologic Fracture: Treatment with Internal Fixation Supplemented by Bone Cement. A Study

K. Nishikawa; Y. Beppu; H. Fukuma

doi:10.5035/nishiseisai.32.365

癌の骨転移による病的骨折に対する骨セメントの利用

西川耕平, 別府保男, 福間久俊

著者情報

ジャーナルフリー

1984 年 32 巻 2 号 p. 365-369

DOI https://doi.org/10.5035/nishiseisai.32.365

詳細

発行日: 1984/03/25 受付日: - J-STAGE公開日: 2010/02/25 受理日: - 早期公開日: - 改訂日: -
訂正情報
訂正日: 2010/02/25 訂正理由: - 訂正箇所: 引用文献情報訂正内容: Wrong : 1) Bowers, T. A., et al.: Bone metastases from renal carcinoma. J. Bone Joint Surg., 64-A: 749-754, 1982.
2) Enis, J. E, et al.: Methylmethacrylate in neoplastic bone destruction. The Hip: Proceedings of the first open scientific meeting of the Hip Society, the C. V. Mosby Co., St. Louis, 1973, pp. 118-138.
3) Franklin, H. S., et al.: The adjunctive use of methylmethacrylate in fixation of pathological fractures. J. Bone Joint Surg., 56-A: 40-48, 1974.
4) Harrington, H. S., et al.: The use of methylmethacrylate as an adjunctive in the internal fixation of neoplastic fractures. J. Bone Joint Surg., 54-A: 1665-1676, 1972.
6) Mandarino, M. P., et al.: Polyurethan polymer—Its use in fractured and deseased bone. Am. J. Surg., 97: 442-446, 1959.
8) Muller, M. E.: Die Verwendung von Kunstharzen in der Knochenchivurgie.

Right : 1) Bowers, T. A., et al.: Bone metastases from renal carcinoma. J. Bone Joint Surg., 64-A: 749-754, 1982.
2) Enis, J. E, et al.: Methylmethacrylate in neoplastic bone destruction. The Hip: Proceedings of the first open scientific meeting of the Hip Society, the C. V. Mosby Co., St. Louis, 1973, pp. 118-138.
3) Franklin, H. S., et al.: The adjunctive use of methylmethacrylate in fixation of pathological fractures. J. Bone Joint Surg., 56-A: 40-48, 1974.
4) Harrington, H. S., et al.: The use of methylmethacrylate as an adjunctive in the internal fixation of neoplastic fractures. J. Bone Joint Surg., 54-A: 1665-1676, 1972.
6) Mandarino, M. P., et al.: Polyurethan polymer—Its use in fractured and deseased bone. Am. J. Surg., 97: 442-446, 1959.
8) Muller, M. E.: Die Verwendung von Kunstharzen in der Knochenchivurgie. Arch. Orthop. Unfall. Chir., 54: 513-519, 1962.
9) Scheuba, G.: Zur Osteosynthese Pathologischer Frakturen mit Palacos. Zentralbl. Chir., 91: 464-468, 1966.

抄録

Thirty patients (31 locations) with pathologic fracture from metastatic cancer were treated with internal fixation supplemented by methylmethacrylate. Primary organs involved were breast (16), lung (6), kidney (3), liver (2), maxillary sinus (1), esophagus (1), and uterus (1). The most frequent location of pathologic fracture was the femoral shaft which occurred in 64.5% of 31 locations. The internal fixation of pathologic fractures offers many advantages. Pain usually disappears within a few days and freed from external fixation. Seventy-three percent had excellent or good results and in only three results were poor. In one patient the postoperative complication (DIC) occurred and two had deterioration of general condition. All but three patients benefited from the procedure in terms of pain relief, improved mobility, and ease of nursing care. The use of methylmethacrylate as an adjuvant in internal fixation of pathologic fractures and postoperative radiation appeared to be the best treatment.

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