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Comparison of Percutaneous Cementoplasty with and Without Interventional Internal Fixation for Impending Malignant Pathological Fracture of the Proximal Femur.
- Source :
- CardioVascular & Interventional Radiology; Jan2016, Vol. 39 Issue 1, p81-89, 9p
- Publication Year :
- 2016
-
Abstract
- <bold>Purpose: </bold>To compare the efficacy of percutaneous cementoplasty (PCP) with and without interventional internal fixation (IIF) on malignant impending pathological fracture of proximal femur.<bold>Methods: </bold>A total of 40 patients with malignant impending pathological fracture of proximal femur were selected for PCP and IIF (n = 19, group A) or PCP alone (n = 21, group B) in this non-randomized prospective study. Bone puncture needles were inserted into the proximal femur, followed by sequential installation of the modified trocar inner needles through the puncture needle sheath. Then, 15-45 ml cement was injected into the femur lesion.<bold>Results: </bold>The overall excellent and good pain relief rate during follow-ups were significantly higher in group A than that in group B (89 vs. 57 %, P = 0.034). The average change of VAS, ODI, KPS, and EFES in group A were significantly higher than those in group B at 1-, 3-, 6-month, 1-year (P < 0.05). Meanwhile, The stability of the treated femur was significantly higher in group A than that in group B (P < 0.05).<bold>Conclusion: </bold>PCP and IIF were not only a safe and effective procedure, but resulted in greater pain relief, bone consolidation, and also reduced the risk of fracture than the currently recommended approach of PCP done on malignant proximal femoral tumor. [ABSTRACT FROM AUTHOR]
- Subjects :
- BONE fracture prevention
COMPARATIVE studies
FEMUR injuries
FRACTURE fixation
BONE fractures
LONGITUDINAL method
SPONTANEOUS fractures
RESEARCH methodology
MEDICAL cooperation
MIDDLE age
RESEARCH
EVALUATION research
TREATMENT effectiveness
FEMUR
KARNOFSKY Performance Status
CEMENTOPLASTY
DISEASE complications
PREVENTION
TUMORS
Subjects
Details
- Language :
- English
- ISSN :
- 01741551
- Volume :
- 39
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- CardioVascular & Interventional Radiology
- Publication Type :
- Academic Journal
- Accession number :
- 111969597
- Full Text :
- https://doi.org/10.1007/s00270-015-1133-0