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在病理性骨折中使用骨髓内植入物进行封闭缩减和内部固定的重要性 - 一个案例系列

Kapil Bansal¹, Anshul Dahuja¹, Iqbalpreet Singh¹

¹Department of Orthopaedic Surgery, Guru Gobind Singh College and Hospital, Faridkot, Punjab, India.

Journal of orthopaedic case reports

|January 16, 2026

概括

骨髓内 (IM) 钉钉有效治疗病态骨折,包括转移性骨病和多发性骨髓瘤 (MM) 的骨折. 这种手术固定提供了显著的疼痛缓解,并使早期的患者动员和功能恢复.

科学领域:

整形外科手术整形外科手术
在瘤学瘤学.
骨转移管理骨转移管理

背景情况:

转移性骨病,多发性骨髓瘤 (MM) 和非典型的股骨骨折造成的病理骨折构成了重大治疗挑战.
骨髓内钉 (IM) 是这些复杂骨折的生物机械稳定固定方法.
早期动员和改善功能结果是治疗病理性骨折的关键目标.

研究的目的:

评估IM钉在患有病理性长骨骨折的患者IM钉的临床和放射性结果.
评估IM固定在缓解疼痛和促进早期功能恢复方面的有效性.
分析IM钉在不同病理骨折病因的手术管理中的作用.

主要方法:

一个由五名患有病理性长骨骨折的患者组成的病例系列,他们接受了IM钉钉治疗.
包括各种不同的病因,如乳腺癌,MM,肝细胞癌和大B细胞淋巴瘤.
使用长的IM指甲和锁定的手指甲指甲进行手术固定.

主要成果:

在IM钉后报告的患者疼痛显著减少.
在大多数患者中,成功地实现了早期的承重能力.
观察到令人满意的骨折结合率,并发症发生率低.

结论:

IM钉是稳定病态长骨骨折的有效和可靠方法.
这种固定技术促进了快速的症状改善和功能恢复.
IM钉是病理性骨折的外科治疗的基石,提高了患者的治疗结果.

关键词:

病理性骨折是一种病理性骨折.非典型的股骨骨折.内内钉钉的情况转移性骨疾病转移性骨病

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