Abstract | INTRODUCTION: Bone metastasis is a severe complication for patients with cancer. Not only does it cause intractable pain and other clinical problems such as fracture after trivial injury, it also signifies that the malignant process is incurable. Since life expectancy of metastasised cancer patients has improved due to advanced oncological treatment but is still limited, appropriate surgical intervention has increased. METHOD: RESULTS: Patients treated with cemented intramedullary nailing had better pain relief, less use of analgesics and better functional restoration immediately after surgical procedure when compared to the patients without cement fixing. The rate of complication did not differ between these two groups. CONCLUSION: Since surgery for metastases does not prolong life but improves the quality of life, the aim towards a short postoperative rehabilitation time is recommended. Cement fixation gives immediate stabilisation to the fracture site and thus allows less pain but full range of motion from the first postoperative day.
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Authors | Minna Laitinen, Jyrki Nieminen, Toni-Karri Pakarinen |
Journal | Archives of orthopaedic and trauma surgery
(Arch Orthop Trauma Surg)
Vol. 131
Issue 4
Pg. 503-8
(Apr 2011)
ISSN: 1434-3916 [Electronic] Germany |
PMID | 20740287
(Publication Type: Journal Article)
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Topics |
- Aged
- Bone Nails
- Bone Neoplasms
(complications, secondary)
- Breast Neoplasms
(pathology)
- Cementation
- Female
- Fracture Fixation, Intramedullary
(methods)
- Fractures, Spontaneous
(surgery)
- Humans
- Humeral Fractures
(etiology, surgery)
- Kidney Neoplasms
(pathology)
- Lung Neoplasms
(pathology)
- Male
- Middle Aged
- Multiple Myeloma
(pathology)
- Prostatic Neoplasms
(pathology)
- Quality of Life
- Retrospective Studies
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