Sim F H
Instr Course Lect. 1992;41:317-27.
Metastatic bone disease involving the pelvis and femur is a common clinical occurrence. A pathologic fracture in this region is a catastrophic event that results in significant pain and loss of function. Recent advances in surgical management of pathologic fractures, resulting in secure fracture stability or stable joint replacement, have allowed these patients to resume their pre-fracture level of activity and ambulation. The surgeon must be familiar with the various devices available, because the choice of surgical procedure depends on the location of the tumor. In selected patients with extensive destruction, methylmethacrylate can be used to enhance the security of fixation and stability. Moreover, a more aggressive approach to prophylactic fixation before a catastrophic fracture develops has distinct advantages.
累及骨盆和股骨的转移性骨病是临床常见情况。该区域的病理性骨折是灾难性事件，会导致严重疼痛和功能丧失。病理性骨折手术治疗的最新进展带来了可靠的骨折稳定性或稳定的关节置换，使这些患者能够恢复骨折前的活动和行走水平。外科医生必须熟悉可用的各种器械，因为手术方式的选择取决于肿瘤的位置。在部分广泛破坏的患者中，可使用甲基丙烯酸甲酯来增强固定的安全性和稳定性。此外，在灾难性骨折发生前采取更积极的预防性固定方法具有明显优势。
