Ostalo
Surgical treatment of pathological fracture of the femur using the method of intramedullary osteosynthesis - a case report
Ivan Lovrić
; Surgery Clinic, University Hospital Osijek, Osijek, Croatia
Igor Lekšan
; Surgery Clinic, University Hospital Osijek, Osijek, Croatia
Damir Kovač
; Surgery Clinic, University Hospital Osijek, Osijek, Croatia
Sažetak
Breast cancer is a malignant neoplasm with the highest incidence in female population, along with malignant tumors of the female genital tract. Depending on how far the disease has spread, distant metastases are most frequent in the lungs and in the skeleton. Additionally, widespread malignant disease may result in paraneoplastic syndrome with metabolic disbalance of the whole body. A well-known paraneoplastic syndrome that occurs in cancer patients is hypercoagulability, consequently resulting in deep venous thrombosis and embolism. A 52-year-old female patient was admitted to the traumatology unit of the Clinical Hospital Osijek, Clinic of Surgery with intertrochanteric fracture of the right femur. It was a pathological fracture, type 31-A3. Seven weeks prior to admission the patient had had right mastectomy due to malignant carcinoma. After two weeks of cytostatic therapy the patient had cerebrovascular insult that resulted in left hemiparesis, which gradually subsided. It was decided to treat the fracture using intramedullary osteosynthesis with proximal femoral nail. We consider the intramedullary osteosynthesis the method of choice whenever it can be applied, depending on the fracture type. The application of osteosynthesis generally enables earlier patient mobilization. Furthermore, surgical procedure takes less time and blood loss is significantly reduced.
Ključne riječi
paraneoplastic syndrome; pathological fracture; intramedullary osteosynthesis
Hrčak ID:
280356
URI
Datum izdavanja:
27.11.2008.
Posjeta: 353 *