지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 460 - 465 (6page)
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초록· 키워드
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Purpose: To analyze the results of surgical treatment for pathological fractures at the proximal femur. Materials and Methods: Nineteen patients with a pathologicalfracture were included. The mean age was 65.7 years old. The patients comprised8 males and 11 females. Primary tumors, types of pathological fractures, surgical procedures, and postoperative complications were recorded. MusculoskeletalTumor Society (MSTS) functional score was used for functional evaluation.
A Kaplan-Meier survival analysis was used to determine survival rate. Results:The primary malignancies were 6 cases of breast cancer, 3 cases of lung cancer, 3 cases of renal cell carcinoma, 2 cases of cholangiocarcinoma, 2 cases of hepatocellular carcinoma, 1 case of esophageal cancer, 1 case of colon cancer, and 1 case of ovarian cancer. Pathological fractures included 8 cases of pertrochantericfractures and 11 cases of subtrochanteric fractures. Intramedullary nailingwas performed in 10 cases, and joint replacement surgery was performed in 9 cases. Postoperative complications included local recurrence in 1 case, infection in 1 case, and nail breakage in 1 case. The mean postoperative MSTS score was 21. The mean survival period was 10.6 months. Patient survival rates were 42.1% after 6 months, 26.3% after 12 months, and 10.5% after 24 months. Conclusion: Surgical treatment of pathological fractures at the proximal femur provided early ambulation, and excellent pain relief. The surgery was well tolerated emotionally. Surgery is necessary for improving the quality of life in such patients; however, more cases of pathological fractures in these regions should be subjected to detailed analysis.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Bauer HC / 1995 / Survival after surgery for spinal and extremity metastases. Prognostication in 241 patients / Acta Orthop Scand 66 : 143 ~ 146
Bauer HC / 2005 / Controversies in the surgical management of skeletal metastases / J Bone Joint Surg Br 87 : 608 ~ 617
Bohm P / 2002 / The surgical treatment of bony metastases of the spine and limbs / J Bone Joint Surg Br 84 : 521 ~ 529
Capanna R / 2001 / The treatment of metastases in the appendicular skeleton / J Bone Joint Surg Br 83 : 471 ~ 481
Choy WS / 2012 / Implant failure of long proximal femoral nail antirotation in patient with subtrochanteric pathologic fracture / Eur J Orthop Surg Traumatol 22 : 609 ~ 612
Bauer HC / 2005 / Controversies in the surgical management of skeletal metastases / J Bone Joint Surg Br 87 : 608 ~ 617
Bohm P / 2002 / The surgical treatment of bony metastases of the spine and limbs / J Bone Joint Surg Br 84 : 521 ~ 529
Capanna R / 2001 / The treatment of metastases in the appendicular skeleton / J Bone Joint Surg Br 83 : 471 ~ 481
Choy WS / 2012 / Implant failure of long proximal femoral nail antirotation in patient with subtrochanteric pathologic fracture / Eur J Orthop Surg Traumatol 22 : 609 ~ 612
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