Department of Orthopaedics and Traumatology, Venizeleion General Hospital of Heraklion, Crete, Greece.
Department of Orthopaedics and Traumatology, 251 Hellenic Air Force General Hospital of Athens, Greece.
J Long Term Eff Med Implants. 2023;33(2):67-70. doi: 10.1615/JLongTermEffMedImplants.2022044050.
Pathological fractures of the proximal radius are exceedingly rare. Here, a case of an 81-year-old female diagnosed with multiple myeloma 15 years ago who suffered a pathological fracture of her left proximal radius is presented. Due to the fracture's proximity to the elbow joint and the lack of adjacent healthy bone tissue, a resourceful surgical intervention was implemented using a pediatric flexible nail supplemented by polymethacrylate cement injection. Six weeks post-operatively, the patient had alleviation of the pain with fully functional forearm. This novel approach could possibly aid in the treatment of other long bone pathological fractures due to neoplastic metastases.
桡骨近端病理性骨折极为罕见。本文报道了 15 年前被诊断为多发性骨髓瘤的 81 岁女性患者左桡骨近端病理性骨折的病例。由于骨折靠近肘关节且缺乏相邻的健康骨组织，因此采用了一种巧妙的手术干预方法，即使用儿童型弹性钉并辅以聚甲基丙烯酸甲酯骨水泥注射。术后 6 周，患者前臂功能完全恢复，疼痛缓解。这种新方法可能有助于治疗其他由于肿瘤转移引起的长骨病理性骨折。
