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Painful pathologic fracture of the humerus: percutaneous osteoplasty with bone marrow nails under hybrid computed tomography and fluoroscopic guidance. J Vasc Interv Radiol 2011 Jul;22(7):1031-4

Date

06/29/2011

Pubmed ID

21708321

DOI

10.1016/j.jvir.2011.02.021

Scopus ID

2-s2.0-79959719917   9 Citations

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.

Author List

Anselmetti GC, Manca A, Chiara G, Tutton S, Iussich G, Gino G, Grignani G, Ortega C, Moselli N, Regge D

Author

Sean Tutton MD Vice Chair, Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Bone Cements
Bone Nails
Bone Neoplasms
Fluoroscopy
Fracture Fixation, Internal
Humans
Male
Pain
Pain Measurement
Palliative Care
Polymethyl Methacrylate
Radiography, Interventional
Shoulder Fractures
Tomography, X-Ray Computed
Treatment Outcome
jenkins-FCD Prod-480 9a4deaf152b0b06dd18151814fff2e18f6c05280