Intramedullary Fixation With a Short Nail in a Young Patient Presenting With a Pathological Proximal Femur Fracture

被引：0

作者：

Roberto Gonzalez, Marcos ^{[1
]}

Bryce-Alberti, Mayte ^{[1
]}

Subhawong, Ty ^{[2
]}

Hakim, Muhammad ^{[3
]}

Rosenberg, Andrew ^{[3
]}

Pretell-Mazzini, Juan ^{[4
]}

机构：

[1] Univ Peruana Cayetano Heredia, Fac Med, Lima, Peru

[2] Univ Miami, Miller Sch Med, Dept Radiol, Div Musculoskeletal Radiol, Coral Gables, FL 33124 USA

[3] Univ Miami, Miller Sch Med, Dept Bone & Soft Tissue Pathol, Miami, FL 33136 USA

[4] Univ Miami, Dept Orthopaed, Div Musculoskeletal Oncol, Miller Sch Med, Miami, FL 33136 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS | 2021年 / 5卷 / 06期

关键词：

DESMOPLASTIC FIBROMA; BONE;

D O I：

10.5435/JAAOSGlobal-D-21-00055

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

An 18-year-old man presented with a pathological fracture of the right proximal femur. Desmoplastic fibroma was diagnosed through histological studies. Surgical management involved extended intralesional curettage and fracture stabilization by open reduction with intramedullary nailing, using a short Gamma nail. At 42-month follow-up, the patient presented no limitations or recurrence. Internal fixation after prior intralesional curettage is a valid treatment strategy for pathological fractures in young patients. A short nail was chosen to prevent direct tumor cell seeding throughout the femur and future recurrence. Fracture consolidation was achieved because of the healing potential of a young patient.

引用

页数：7

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