Dittel K K, Märklin H M
Aktuelle Traumatol. 1985 Jun;15(3):115-9.
65 combined osteosyntheses were applied to 49 patients for existent or imminent pathological fractures. The most frequent reason was carcinoma of the breast in 2/3 of the cases. Surgical intervention was done palliatively non radical in 52 cases as a posttraumatic and in 13 cases as a prophylactic procedure. Surgery was well tolerated by all patients with a primary hospital mortality of 10,2%. On an average the survival time for 10 patients still living was 22 1/2 months, for 39 patients who had died 8 1/2 months. In all cases a substantial increase in quality of life was gained, both by enabling the patient to use the extremity concerned almost without pain and by greatly relieving bedside care. These results indicate that combined osteosyntheses should be applied on a broader basis.
对49例存在或即将发生病理性骨折的患者进行了65次联合骨固定术。最常见的原因是2/3的病例为乳腺癌。52例作为创伤后手术、13例作为预防性手术进行了姑息性而非根治性手术干预。所有患者对手术耐受性良好，医院原发性死亡率为10.2%。仍在世的10例患者平均生存时间为22.5个月，已死亡的39例患者平均生存时间为8.5个月。在所有病例中，通过使患者几乎无痛地使用相关肢体以及极大地减轻床边护理，生活质量都有了显著提高。这些结果表明联合骨固定术应更广泛地应用。
