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首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Surgical Treatment of Metastatic Femoral Fractures: Achieving an Improved Quality of Life for Cancer Patients
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Surgical Treatment of Metastatic Femoral Fractures: Achieving an Improved Quality of Life for Cancer Patients

机译：转移性股骨骨折的外科治疗：为癌症患者带来更高的生活质量

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Background: The femur is the most common long bone affected by metastatic carcinoma. We report our experience regarding treatment of metastatic femoral fracture using femoral head prosthesis (FHP) or intramedullary nailing (IM nail) with augmentation by polymethylmethacrylate (PMMA). Patients and Methods: Thirty-five complete fractures in 33 patients were treated surgically. Metastatic lesions were present in the femoral head to neck region (n=9), trochanteric to shaft region (n=23) and supracondular region (n=3). Results: Eight out of 9 patients with proximal femoral metastasis reconstructed by FHP were later able to walk outdoors. For the 11 patients with trochanteric metastasis, the short type of gamma nail was used for bony fixation. In two patients the inserted IM nails were broken. All other cases showed excellent clinical outcomes. For the 12 patients with femoral shaft metastasis, the long type of gamma nail was inserted. Nine cases showed excellent clinical outcomes without any serious complications. Conclusion: FHP is indicated for metastases in the femoral head to neck region. IM nailing is best indicated when the lesion is located in the proximal to mid shaft and the patient's life expectancy is <6 month.
机译：背景：股骨是受转移癌影响的最常见的长骨。我们报道了我们的经验，即使用股骨头假体（FHP）或髓内钉（IM钉）加上聚甲基丙烯酸甲酯（PMMA）来治疗转移性股骨骨折。患者与方法：通过手术治疗33例患者中的35例完全骨折。股骨头到颈部区域（n = 9），股骨转子部到轴区域（n = 23）和肾盂上区域（n = 3）存在转移性病变。结果：FHP重建的9例股骨近端转移患者中，有8例后来得以户外行走。对于11例股骨转子转移患者，使用短型伽马钉进行骨固定。在两名患者中，插入的IM钉断裂。所有其他病例均显示出极好的临床效果。对于12例股骨干转移患者，插入了长型伽马钉。 9例表现出优异的临床结果，没有任何严重的并发症。结论：FHP适用于股骨头至颈部的转移。当病变位于近中轴至中轴且患者的预期寿命小于6个月时，IM钉是最好的选择。

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