Borel Rinkes I H, Wiggers T, Bouma W H, van Geel A N, Boxma H
Department of Surgery, South Municipal Hospital, Rotterdam, The Netherlands.
Clin Orthop Relat Res. 1990 Nov(260):220-3.
Thirty-four patients with manifest or impending pathologic fractures of the femoral neck were treated between 1971 and 1987. Breast carcinoma was the primary tumor in the majority of patients. All patients were treated with cemented hemiarthroplasty. Twenty-seven patients (79%) could walk at an average of nine days postoperatively. All patients experienced relief of pain. Two superficial wound dehiscences, one loosening of the prosthesis, and two prosthetic dislocations were encountered. Mean survival was 17.6 months overall (12 months for manifest fractures and 40 months for impending fractures). These results indicate that cemented hemiarthroplasty for pathologic fractures is a safe procedure resulting in long-lasting palliation without necessitating postoperative irradiation. The importance of tumor excochleation and the advantages of bone cement are emphasized.
1971年至1987年间，对34例有明显或即将发生的股骨颈病理性骨折患者进行了治疗。大多数患者的原发肿瘤为乳腺癌。所有患者均接受了骨水泥半髋关节置换术治疗。27例患者（79%）术后平均九天即可行走。所有患者的疼痛均得到缓解。出现了两例表浅伤口裂开、一例假体松动和两例假体脱位。总体平均生存期为17.6个月（明显骨折患者为12个月，即将发生骨折患者为40个月）。这些结果表明，病理性骨折的骨水泥半髋关节置换术是一种安全的手术，可实现持久的姑息治疗，无需术后放疗。强调了肿瘤清除的重要性以及骨水泥的优势。
