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  • Schlüsselwörter Pathologische Fraktur • Osteolyse • Unaufgebohrte Marknagelung • Palliative Chirurgie • Minimal-invasive Verfahren  (1)
  • Total hip replacement  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Unreamed intramedullary nailing for minimal invasive palliative stabilization of pathological fractures and osteolyses in long bones (1997)
    Springer
    Der Unfallchirurg 100 (1997), S. 715-718 
    Details
    ISSN: 1433-044X
    Keywords: Key words Pathological fracture • Osteolysis • Unreamed intramedullary nailing • Palliative surgery • Minimal invasive procedures ; Schlüsselwörter Pathologische Fraktur • Osteolyse • Unaufgebohrte Marknagelung • Palliative Chirurgie • Minimal-invasive Verfahren
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Patienten mit fortgeschrittenem Tumorleiden sind durch stabilitätsgefährdende Osteolysen oft mehrerer langer Röhrenknochen z. T. erheblich in ihrer Mobilität und Lebensqualität beeinträchtigt. Zwischen 6/1993 und 10/1995 wurden bei prospektiv ausgewählten Patienten (n = 19) mit einem fortgeschrittenen ossär metastasierenden Tumorleiden in palliativer Indikation unaufgebohrte Marknägel an Femur (UFN) (n = 13) sowie Tibia (n = 1) und Humerus (UTN) (n = 7) implantiert; z. T. erfolgten bilaterale und simultane Stabilisierungen an oberen und unteren Extremitäten. Die postoperativen Verläufe bis zum Tode am Grundleiden zeigten eine erheblich verbesserte Lebensqualität durch die wieder mögliche Vollbelastung; ein Implantatversagen wurde nicht beobachtet. Die unaufgebohrte Marknagelung erscheint als minimal-invasives und komplikationsarmes Verfahren bei stabilitätsgefährdenden Osteolysen und pathologischen Frakturen langer Röhrenknochen.
    Notes: Summary Pathological fractures and osteolyses with impending fractures of long bones impose a severe problem in patients with advanced cancer. For palliative treatment between June 1993 and October 1995 intramedullary nailing was performed in 19 patients with 13 femoral, 7 humeral and 1 tibial lesions; AO unreamed nails were used for this purpose (unreamed femur nail UFN with or with spiral blade for femoral lesions and unreamed tibia nail UTN for humeri and tibia). Stabilization was achieved without severe complications; full weight bearing of both femora and humeri (while using crutches) was allowed. Simultaneous and bilateral nailing was done. Follow-up until death due to advanced cancer demonstrated no implant failure and improved quality of life as well. Unreamed intramedullary nailing seems to be a minimally invasive procedure with a low complication rate for palliative treatment of (impending) pathological fractures in advanced cancer.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001130050182
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Midterm results in 500 titanium alloy straight femoral stem prostheses -cemented and cementless technique (1998)
    Springer
    European journal of orthopaedic surgery & traumatology 8 (1998), S. 133-139 
    Details
    ISSN: 1432-1068
    Keywords: Total hip replacement ; Results ; Aseptic loosening ; Cemented ; Uncemented ; Titanium
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Mid- and long term stability is still the major challenge in total hip replacement (THR). A consecutive series of cemented 250 cases and of uncemented 250 cases was analyzed in a prospective follow-up study. The femoral component of the BiCONTACT hip stem system with the same design for cemented and uncemented implantation was used. While the cemented stems had a smooth surface, the cementless implants were proximally coated with a microporous titanium plasmaspray (Plasmapore®). Follow-up time averaged 7 years for cemented and 6.5 years for uncemented THRs. Follow-up rate was 88.7% in cases treated with cemented stems and 93.1% in cases treated with an uncemented stem. The rate of aseptic loosening was 1.2% for the cemented version and 0.4% for the uncemented one. Radiological loosening could be observed in another 1.2% of the cemented stems but was not found in the uncemented cases. Our data suggest excellent midterm stability of both the cemented and the uncemented version of the BiCONTACT hip stem system. Early aseptic loosening especially of the cemented titanium alloy straight stem has not occurred in our series as reported recently. The prosthesis design and follow-up time may therefore play an important role. The long-term results for both cemented and uncemented BiCONTACT prostheses of our series are still to be evaluated.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01682630
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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