A case of a 75-year-old patient with a painful pathologic humeral shaft fracture, with unacceptably high surgical risk and unsatisfactory analgesia is reported. In this case, impaired arm function and persistent pain with conservative management resulted in a poor quality of life. Palliation with image-guided percutaneous osteoplasty was considered. Because of potential cement leakage, inadequate fracture reduction, the site of the fracture, and the mobility of the joints in that area, image-guided percutaneous delivery of metallic bone marrow nails implanted together with polymethyl methacrylate (PMMA) osteoplasty was performed. This procedure achieved humeral shaft stabilization, bone fragment alignment, fracture reduction, and pain relief.

Painful pathologic fracture of the humerus: Percutaneous osteoplasty with bone marrow nails under hybrid computed tomography and fluoroscopic guidance

CHIARA, GABRIELE;REGGE, Daniele
2011-01-01

Abstract

A case of a 75-year-old patient with a painful pathologic humeral shaft fracture, with unacceptably high surgical risk and unsatisfactory analgesia is reported. In this case, impaired arm function and persistent pain with conservative management resulted in a poor quality of life. Palliation with image-guided percutaneous osteoplasty was considered. Because of potential cement leakage, inadequate fracture reduction, the site of the fracture, and the mobility of the joints in that area, image-guided percutaneous delivery of metallic bone marrow nails implanted together with polymethyl methacrylate (PMMA) osteoplasty was performed. This procedure achieved humeral shaft stabilization, bone fragment alignment, fracture reduction, and pain relief.
2011
22
7
1031
1034
PMMA; polymethyl methacrylate; Aged; Bone Cements; Bone Neoplasms; Fluoroscopy; Fracture Fixation, Internal; Humans; Male; Pain; Pain Measurement; Palliative Care; Polymethyl Methacrylate; Radiography, Interventional; Shoulder Fractures; Treatment Outcome; Bone Nails; Tomography, X-Ray Computed; Radiology, Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicine
Anselmetti, Giovanni Carlo; Manca, Antonio; Chiara, Gabriele; Tutton, Sean; Iussich, Gabriella; Gino, Giancarlo; Grignani, Giovanni; Ortega, Cinzia; Moselli, Nora; Regge, Daniele
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1548805
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