Roux Charles, Tselikas Lambros, Delpla Alexandre, Yevich Steven, Teriitehau Christophe, Hakime Antoine, Varin Eloi, Kobe Adrian, de Baère Thierry, Deschamps Frédéric
Interventional Radiology Unit, Department of Imaging, Gustave Roussy-Cancer Center, Villejuif, France.
Interventional Radiology Unit, Department of Imaging, Gustave Roussy-Cancer Center, Villejuif, France; Faculty of Medicine, University Paris-Sud, Le Kremlin Bicêtre, France; Laboratory of Translational Research in Immunology, Institut National de la Santé et de la Recherche Médicale Unit 1015, Villejuif, France.
Tech Vasc Interv Radiol. 2022 Mar;25(1):100802. doi: 10.1016/j.tvir.2022.100802. Epub 2022 Jan 16.
According to the literature, prophylactic consolidation of proximal femur lytic metastasis the is recommended when the Mirels' score is above 8. Osteoplasty (cementoplasty of proximal femur) alone provides inadequate consolidation. Various mini-invasive technics, augmented osteoplasties, have been proposed for better long-term consolidation. The aim of this review is to detail the augmented osteoplasty techniques described in the literature and to report their safeties and efficacies to prevent pathological fracture of the proximal femur. A PubMed research found 8 studies that evaluated augmented osteoplasty of the proximal femur in cancer patients. All devices demonstrate adequate safety and low rate of secondary pathological fractures.
根据文献，当米雷尔评分高于8分时，建议对股骨近端溶骨性转移进行预防性巩固。单纯的骨成形术（股骨近端骨水泥成形术）提供的巩固效果不足。为了实现更好的长期巩固，人们提出了各种微创技术，即增强骨成形术。本综述的目的是详细介绍文献中描述的增强骨成形术技术，并报告其预防股骨近端病理性骨折的安全性和有效性。一项PubMed研究发现了8项评估癌症患者股骨近端增强骨成形术的研究。所有器械均显示出足够的安全性和较低的继发性病理性骨折发生率。
