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Treatment of pathological humeral shaft fractures with intramedullary nailing. A retrospective study

机译:髓内钉治疗肱骨干病理性骨折。回顾性研究

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摘要

A consecutive series of 22 pathological fractures of the humeral shaft in 21 patients treated at one institution were included in this retrospective study. Patients were treated with anterograde locked intramedullary nailing. Mean follow-up was 22.7 months (range 3–60). Mean VAS score improved from 89.5 (range 80–100) to 14.5 (range 0–40). In most patients there was a satisfactory return to daily activities within six weeks of surgery. Seventeen of 19 patients reported to be satisfied. Mean duration of hospitalization after surgery was 4.3 days (range 2–15). There were no complications related to the implants. There were no operative complications and the average operation time was 48 minutes (range 35–160). The consolidation rate was 80%. We emphasize that suspicion of fracture and interdisciplinary work between oncologists and orthopaedic surgeons are of crucial importance for survival time and individual treatment.
机译:这项回顾性研究包括在一家机构接受治疗的21例患者的连续22例肱骨干病理性骨折。患者接受顺行锁髓内钉治疗。平均随访时间为22.7个月(范围3-60)。平均VAS分数从89.5(范围80-100)提高到14.5(范围0-40)。在大多数患者中,手术后六周内恢复了令人满意的日常活动。 19名患者中有17名报告满意。术后平均住院时间为4.3天(范围2-15)。没有与植入物相关的并发症。没有手术并发症,平均手术时间为48分钟(范围35-160)。合并率为80%。我们强调,怀疑肿瘤科医生和整形外科医生之间存在骨折和跨学科工作对于生存时间和个体治疗至关重要。

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