Results of Caused Operative Treatment for Pathological Fractures by Metastasis to the Extremities

Autor:	Hideyuki Senba, Katsuhiro Ohmiya, Masaki Kido, Kunio Sasaki, Kenji Sakai, Kazuo Takabatake, Shiro Hiroshima, Kazuhiro Matsuda, Syushi Hoshino
Rok vydání:	1995
Předmět:	medicine.medical_specialty Preoperative pain business.industry Metastatic tumor medicine.disease Metastasis Surgery medicine.anatomical_structure medicine Severe pain Humerus Pathological fractures business Pathological Femoral neck
Zdroj:	Orthopedics & Traumatology. 44:1117-1122
ISSN:	1349-4333 0037-1033
DOI:	10.5035/nishiseisai.44.1117
Popis:	We operated on six pathological limb fractures due to metastatic tumor from 1993 to 1994. There were four fractures of the femoral neck, and two fractures of the humerus. Two cases were operated palliatively using an Ender's nail, and four cases radically involving total extirpation of the tumors followed by insertion of several implants. The Huckstep system was used in two cases, and artificial humeral head, and plate and cement in one case respectively.Five cases died within three months after the operation. Average life span was eleven weeks. Only one case is still alive. We evaluated these six cases retrospectively according to the preoperative prognosis criterion for pathological fractures due to extremities metastasis (by Tokuhashi, et al.). This criterion did not show a definite prognosis for our patients. No cases obtained fully functioning extremities postoperatively but five cases were relatively relieved from preoperative pain. One case with intra-pelvic metastasis suffered from severe pain until death. We concluded that operative treatment for metastatic tumor of the extremities provided patients with relief of pain if it was performed following definite surgical indication.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::56b5c69101fa6ba610279c0e7ff1af6d https://doi.org/10.5035/nishiseisai.44.1117 Zobrazit plný text záznamu