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年轻患者病理性股骨近端骨折采用短钉髓内固定治疗。

Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture.

机构信息

From the Facultad de Medicina Universidad Peruana Cayetano Heredia, Lima, Peru (Dr. González, Dr. Bryce-Alberti); the Department of Radiology, Division of Musculoskeletal Radiology, University of Miami Miller School of Medicine (Dr. Subhawong); the Department of Bone and Soft Tissue Pathology, Miami Miller School of Medicine (Dr. Hakim, Dr. Rosenberg); and the Department of Orthopaedics, Division of Musculoskeletal Oncology, University of Miami Miller School of Medicine, Miami, FL (Dr. Pretell-Mazzini).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2021 Jun 2;5(6):e21.00055-7. doi: 10.5435/JAAOSGlobal-D-21-00055.

DOI:10.5435/JAAOSGlobal-D-21-00055
PMID:34077396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8174550/
Abstract

An 18-year-old man presented with a pathological fracture of the right proximal femur. Desmoplastic fibroma was diagnosed through histological studies. Surgical management involved extended intralesional curettage and fracture stabilization by open reduction with intramedullary nailing, using a short Gamma nail. At 42-month follow-up, the patient presented no limitations or recurrence. Internal fixation after prior intralesional curettage is a valid treatment strategy for pathological fractures in young patients. A short nail was chosen to prevent direct tumor cell seeding throughout the femur and future recurrence. Fracture consolidation was achieved because of the healing potential of a young patient.

摘要

一位 18 岁男性因右侧股骨近端病理性骨折就诊。通过组织学研究诊断为促纤维增生性纤维瘤。手术治疗采用广泛的病灶内刮除术，并通过切开复位髓内钉固定（使用短 Gamma 钉）进行骨折稳定。42 个月随访时，患者无任何限制或复发。对于年轻患者的病理性骨折，病灶内刮除术后的内固定是一种有效的治疗策略。选择短钉可防止肿瘤细胞直接种植于整个股骨并预防未来复发。由于年轻患者的愈合潜力，骨折得以愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/c03d08adbd40/jagrr-5-e21.00055-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/604a204d6e86/jagrr-5-e21.00055-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/1e7806891ad3/jagrr-5-e21.00055-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/fe209bac9d2a/jagrr-5-e21.00055-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/3d8c2a67a646/jagrr-5-e21.00055-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/0cea5cb097f7/jagrr-5-e21.00055-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/c03d08adbd40/jagrr-5-e21.00055-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/604a204d6e86/jagrr-5-e21.00055-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/1e7806891ad3/jagrr-5-e21.00055-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/fe209bac9d2a/jagrr-5-e21.00055-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/3d8c2a67a646/jagrr-5-e21.00055-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/0cea5cb097f7/jagrr-5-e21.00055-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76bc/8174550/c03d08adbd40/jagrr-5-e21.00055-g006.jpg

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2
Desmoplastic Fibroma: A Rare Pathological Midshaft Femoral Fracture Treated With Resection, Acute Shortening, and Re-lengthening: A Case Report.促结缔组织增生性纤维瘤：一例采用切除、急性缩短及再延长治疗的罕见病理性股骨干中段骨折病例报告
JBJS Case Connect. 2019 Apr-Jun;9(2):e0022. doi: 10.2106/JBJS.CC.18.00022.
3
Desmoplastic fibroma of the femur with atypical image findings: A case report.
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Medicine (Baltimore). 2018 Dec;97(52):e13787. doi: 10.1097/MD.0000000000013787.
4
Desmoplastic Fibroma of Bone: a Case Series and Review of Literature.骨促结缔组织增生性纤维瘤：病例系列及文献综述
Indian J Surg Oncol. 2018 Dec;9(4):585-591. doi: 10.1007/s13193-018-0767-1. Epub 2018 May 18.
5
Desmoplastic fibroma of bone arising in the cortex of the proximal femur.发生于股骨近端皮质的骨促结缔组织增生性纤维瘤。
J Orthop Sci. 2021 Mar;26(2):306-310. doi: 10.1016/j.jos.2018.07.011. Epub 2018 Aug 7.
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Diagnosis and Differential Diagnosis of Desmoplastic Fibroblastoma by Clinical, Radiological, and Histopathological Analyses.临床、影像学和组织病理学分析诊断硬纤维瘤及其鉴别诊断。
Chin Med J (Engl). 2018 Jan 5;131(1):32-36. doi: 10.4103/0366-6999.221274.
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