van Doorn R, van der Hulst R R, van den Wildenberg F A
Academisch Ziekenhuis, afd. Algemene Heelkunde, Maastricht.
Ned Tijdschr Geneeskd. 1994 Oct 15;138(42):2101-5.
To determine the results and complications of intramedullary nailing of (impending) pathologic femoral fractures.
Retrospective.
University Hospital Maastricht. TIME. Between 1979 and 1993.
We analysed the results of 29 patients treated before 1990, and 12 patients treated after 1990, with a total of 46 (impending) pathologic femoral fractures. We evaluated primary cancer, duration of illness, pain, mobility, complications and survival.
Mobility and pain improved after intramedullary nailing. In the group operated before 1990, in whom the femoral neck had not been stabilised, a femoral neck fracture was seen in 5 cases as a result of a metachronous metastasis. Once a metastasis developed in the scar. Because of these results we decided to stabilise the whole femur, including the femoral neck, with the Russell-Taylor Reconstruction Nail, and to irradiate the whole operation field. Neither femoral neck fractures nor metastases in the scar occurred after 1990.
Intramedullary nailing is a valuable technique for stabilising (impending) pathologic femoral fractures. It is important that the whole femur, including the femoral neck, be stabilised and that the entire operation field be irradiated. The Russel-Taylor Reconstruction Nail is a suitable implant for this purpose.
确定（即将发生的）病理性股骨骨折髓内钉固定的结果及并发症。
回顾性研究。
马斯特里赫特大学医院。时间：1979年至1993年。
我们分析了1990年前治疗的29例患者和1990年后治疗的12例患者的结果，共有46例（即将发生的）病理性股骨骨折。我们评估了原发癌、病程、疼痛、活动能力、并发症和生存率。
髓内钉固定后活动能力和疼痛有所改善。在1990年前手术的组中，股骨颈未得到稳定，5例因异时转移出现了股骨颈骨折。一旦在瘢痕处发生转移。鉴于这些结果，我们决定使用罗素 - 泰勒重建钉稳定整个股骨，包括股骨颈，并对整个手术区域进行放疗。1990年后未再发生股骨颈骨折或瘢痕处转移。
髓内钉固定是稳定（即将发生的）病理性股骨骨折的一项有价值的技术。稳定整个股骨，包括股骨颈，并对整个手术区域进行放疗很重要。罗素 - 泰勒重建钉是用于此目的的合适植入物。
