Kunec J R, Lewis R J
Clin Orthop Relat Res. 1984 Sep(188):183-6.
Internal fixation, supplemented with methylmethacrylate to fill bone defects, is the standard treatment for pathologic fractures. Unfortunately, internal fixation procedures often entail substantial blood loss and a not inconsequential risk of infection, problems with which the debilitated patient is poorly able to cope. Techniques such as closed intramedullary rodding entail less operative morbidity but may not produce complete stabilization and immediate pain relief. This report describes a technique that minimizes operative morbidity and produces immediate fracture stabilization by use of closed intramedullary rodding and injection of methylmethacrylate through a cortical drill hole in the long bone.
采用甲基丙烯酸甲酯填充骨缺损的内固定术是病理性骨折的标准治疗方法。不幸的是，内固定手术常常导致大量失血，且存在不可忽视的感染风险，而身体虚弱的患者很难应对这些问题。诸如闭合髓内棒插入术等技术虽手术并发症较少，但可能无法实现完全稳定和立即缓解疼痛。本报告描述了一种技术，该技术通过使用闭合髓内棒插入术并通过长骨上的皮质钻孔注射甲基丙烯酸甲酯，将手术并发症降至最低，并实现骨折的立即稳定。
