Surgical Treatment of Pathologic Fractuer of the Femur

手術治療股骨病理性骨折

簡松雄(Song-Hsiung Chien) ； 洪韶鴻(Shao-Hung Hung) ； 鄭裕民(Yuh-Min Chen) ； 林高田(Cau-Tyan Lin) ； 林森源(Sen-Yuen Lin) ； 許崇義(Chung-Yee Ko) ； 陳蘭蕙(Lan-Hui Chen) ； 江秀珠(Hsiu-Chu Chiang)

《The Kaohsiung Journal of Medical Sciences》 13卷9期 (1997/09) Pp. 556-561

https://doi.org/10.6452/KJMS.199709.0556

摘要

轉移性骨癌是最常見的惡性骨腫瘤，尤其是醫學進步，延長了各種癌症病人的生命：也因而增加轉移性骨癌的病例。發生轉移性骨癌，導致股骨病理性骨折，接受開刀治療，可以讓病人減輕疼痛、增加活動能力、提昇生活品質，而且併發症很少。本篇論文回顧作者的經驗，自1987年至1994年共有32病例接受手術治療。結果97％病人疼痛改善，62％病人恢復行走活動能力，31％能坐輪椅活動；併發症很少，只有一例發生血行性感染，兩例內固定釘斷裂，需要再次手術治療。

並列摘要

A retrospective study of the surgical treatment of 32 metastatic lesions of the femur in 30 patients at the Kaohsiung Medical College Hospital was performed from 1987 to1994. There were 16 women and 14 men with an average age of 61 years. A surgical technique combining internal fixation or prosthesis and methylmethacrylate cement was used in all cases. Adequate pain relief was achieved in thirty-one cases (97 %). Of the entire group, 20 cases (62%) remained ambulatory, 10 cases (31%) were confined to a wheelchair, only two cases had implant failure and one suffered from infection.

並列關鍵字

pathologic fracture ； metastases