Holmenschlager F, Baranowski D, Winckler S, Brug E
Klinik für Unfallchirurgie, Otto-von-Guericke-Universität Magdeburg.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:987-90.
We report here on the treatment with intramedullary nailing or gamma nailing of 23 pathological femoral shaft fractures, 14 patients having tumors or metastases. Thirteen (13/14) tumor patients were treated palliatively and one patient radically. The results were that 10 patients were able to walk after the operation, all patients gained considerable relief from pain and nursing was facilitated. Intramedullary nailing or gamma nailing offers, in the given indications, a good alternative to the other osteosynthesis procedures.
我们在此报告23例股骨干病理性骨折采用髓内钉或伽马钉治疗的情况,其中14例患者患有肿瘤或转移瘤。13例(13/14)肿瘤患者接受了姑息治疗,1例接受了根治性治疗。结果显示,10例患者术后能够行走,所有患者疼痛均得到显著缓解,护理也更加便利。在特定适应症下,髓内钉或伽马钉为其他骨固定手术提供了一个很好的替代方案。