Voggenreiter G, Assenmacher S, Klaes W, Schmit-Neuerburg K P
University Clinic, Essen, Germany.
J Bone Joint Surg Br. 1996 May;78(3):400-3.
We have used total hip replacement combined with cemented intramedullary nailing to treat a selected group of nine patients with pathological fractures of the proximal femur and impending fractures of the shaft due to metastases. One patient died from cardiopulmonary failure on the third postoperative day, but the others were able to walk within the first week after operation. Complications included one recurrent dislocation of the THR and one fracture of an osteolytic lesion of the femoral shaft during nail insertion. Both were managed successfully. The hybrid osteosynthesis which we describe is an alternative to the use of tumour or long-stem prostheses; it has the advantage of preserving bone stock and muscle attachments.
我们采用全髋关节置换术联合骨水泥型髓内钉治疗了一组经挑选的9例因转移瘤导致股骨近端病理性骨折和股骨干即将骨折的患者。1例患者在术后第3天死于心肺功能衰竭，但其他患者在术后第一周内即可行走。并发症包括1例全髋关节置换术后复发性脱位和1例在插入髓内钉时股骨干溶骨性病变骨折。两者均成功处理。我们所描述的混合式骨合成术是使用肿瘤假体或长柄假体的替代方法；它具有保留骨量和肌肉附着的优点。
