Interventional Radiology Unit, Institute for Cancer Research and Treatment, Strada Provinciale 135, Km 3.95, 10060 Candiolo, Turin, Italy.
J Vasc Interv Radiol. 2011 Jul;22(7):1031-4. doi: 10.1016/j.jvir.2011.02.021.
A case of a 75-year-old patient with a painful pathologic humeral shaft fracture, with unacceptably high surgical risk and unsatisfactory analgesia is reported. In this case, impaired arm function and persistent pain with conservative management resulted in a poor quality of life. Palliation with image-guided percutaneous osteoplasty was considered. Because of potential cement leakage, inadequate fracture reduction, the site of the fracture, and the mobility of the joints in that area, image-guided percutaneous delivery of metallic bone marrow nails implanted together with polymethyl methacrylate (PMMA) osteoplasty was performed. This procedure achieved humeral shaft stabilization, bone fragment alignment, fracture reduction, and pain relief.
报告了一例 75 岁患者出现病理性肱骨干骨折疼痛，手术风险高，镇痛效果不佳。在这种情况下，由于保守治疗导致手臂功能受损和持续疼痛，患者生活质量较差。考虑采用影像学引导下经皮骨成形术姑息治疗。由于潜在的水泥渗漏、骨折复位不足、骨折部位以及该区域关节的活动度，因此采用影像学引导下经皮金属髓内钉联合聚甲基丙烯酸甲酯（PMMA）骨成形术进行治疗。该手术实现了肱骨干稳定、骨碎片对线、骨折复位和疼痛缓解。
