A new technique of segmental bone replacement in metastatic osteolysis in long bones

Intercalary replacement is a valuable option in the treatment of diaphysary long bone metastases. In certain cases methylmethacrylate bone cement may be used as a cheap and readily available alternative to modular or custom-made prostheses. Stabilization is best performed by locked intramedullary na...

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Bibliographic Details
Published inUnfallchirurgie Vol. 23; no. 2; p. 69
Main Author Kundel, K
Format Journal Article
LanguageGerman
Published Germany 01.04.1997
Subjects
Aged
Bone Cements - therapeutic use
Bone Neoplasms - complications
Bone Neoplasms - secondary
Bone Neoplasms - surgery
Equipment Design
Female
Femur - surgery
Fracture Fixation, Intramedullary - instrumentation
Fractures, Spontaneous - etiology
Fractures, Spontaneous - surgery
Humans
Humerus - surgery
Male
Middle Aged
Osteolysis - etiology
Osteolysis - surgery
Palliative Care
Tibia - surgery
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Summary:Intercalary replacement is a valuable option in the treatment of diaphysary long bone metastases. In certain cases methylmethacrylate bone cement may be used as a cheap and readily available alternative to modular or custom-made prostheses. Stabilization is best performed by locked intramedullary nailing. By cutting open the cylindric part of a large syringe and placing it around the bone ends after resection a mould is created where liquid bone cement can be filled in. Thus spilling of liquid methacrylate into the adjacent soft tissues is prevented. After curing this results in a smooth round intercalary segment with perfect contact to the bone ends allowing early postoperative mobilization.
ISSN:0340-2649