Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur / Shai SHEMESH in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.144-150 Titre : Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur Type de document : texte imprimé Auteurs : Shai SHEMESH, Auteur Année de publication : 2014 Article en page(s) : p.144-150 Langues : Français (fre) Résumé : Metastases in the proximal femur and in the femoral diaphysis are usually treated with either cephalo­medullary or intramedullary nailing. The benefit of curettage and augmentation of the nail with methyl methacrylate remains controversial. The authors retrospectively studied the outcomes with cephalo­medullary and intramedullary nailing without curettage and methyl-methacrylate augmentation for lytic metastases of the proximal/diaphyseal femur. Twenty-one complete (11) or impending (10) pathological fractures in 19 consecutive patients were treated between January 2006 and August 2013. There were 11 women and 8 men. Their mean age was 62 years (range, 38 to 87). All patients received adjuvant chemotherapy or radiotherapy.The average postsurgical survival was 9.7 months (range 1-36 months). A single deep infection was débrided. Seventeen out of 19 patients were ambulatory, with or without a walking aid. No implant failure was noted. In other words, patients succumbed to the disease prior to hardware failure. Femoral nail insertion without curettage and cement augmentation provided satisfactory stabilization of proximal and diaphyseal femur fractures, impending or complete, even when there was massive bone destruction. Permalink : ./index.php?lvl=notice_display&id=33540 [article] Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur [texte imprimé] / Shai SHEMESH, Auteur . - 2014 . - p.144-150. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.144-150 Résumé : Metastases in the proximal femur and in the femoral diaphysis are usually treated with either cephalo­medullary or intramedullary nailing. The benefit of curettage and augmentation of the nail with methyl methacrylate remains controversial. The authors retrospectively studied the outcomes with cephalo­medullary and intramedullary nailing without curettage and methyl-methacrylate augmentation for lytic metastases of the proximal/diaphyseal femur. Twenty-one complete (11) or impending (10) pathological fractures in 19 consecutive patients were treated between January 2006 and August 2013. There were 11 women and 8 men. Their mean age was 62 years (range, 38 to 87). All patients received adjuvant chemotherapy or radiotherapy.The average postsurgical survival was 9.7 months (range 1-36 months). A single deep infection was débrided. Seventeen out of 19 patients were ambulatory, with or without a walking aid. No implant failure was noted. In other words, patients succumbed to the disease prior to hardware failure. Femoral nail insertion without curettage and cement augmentation provided satisfactory stabilization of proximal and diaphyseal femur fractures, impending or complete, even when there was massive bone destruction. Permalink : ./index.php?lvl=notice_display&id=33540

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