Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 26095
PATHOLOGICAL FRACTURES TREATED WITH THIRD GENERATION
CEFALOMEDULLARY NAILS
Nedelcho TZACHEV, Asen BALTOV, Borislav ZLATEV, Danail LILYANOV, Andrey
IOTOV
Military Hospital, Sofia (BULGARIA)
Introduction: We report our experience in the treatment of femur pathological
fractures with third generation CMN. The predispositional point in the area of the
proximal femur.Aims: The aim of the treatment of these patients is to improve their
quality of life and to protect the function of the damaged limb.Materials and Methods:
December 1999 December 2008 we operated on 39 patients - 13 men and 26
women, the average age of 61 (20-84). They were most frequent at the following
cases: 17 Ca gl.mammae, 6 Myeloma, 5 Ca pulmonis, 6 Ca gl. prostatae, 1 Ca
coloni, 1 Ca uteri and 1 Adenocarcinoma of gl. sublingvalis. We had 1 osteid osteom
and 1 displasia fibrosa. We reamed the channel in 16 cases and we did not ream in
23 cases. The average operative time was 90 min. The average blood loss was 300
ml. Results: We registered bone union on the 4th -6th month in 26 patients. Three
patients had exitus letalis up to one month and ten patients were not traced to bone
union because of lethal end. For the functional results using the Enneking scale. We
registered the following results: excellent- 20, good 4 and satisfactory 2. The
complications that we observed were: one case of non-union, one case of broken
distal interlocking nails, 2 cases with Z effect and one case of migration of antirotation
screw.Conclusion: The 3-rd generation CMN is minimally invasive method
which provides a better biomechanical stability compared to plate fixation.
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