Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ 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. 656
Poster Topic: Tumours Abstract number: 26171 GIANT CELL TUMOR OF THE METACARPAL - A RARE ENTITY Tarun SURI Maulana Azad Medical College, Lok Nayak Hospital, New Delh (INDIA) Giant Cell Tumor (GCT) or Osteoclastoma is a benign locally aggressive tumor with a tendency for local recurrence. 85-90% of cases occur in the long bones. Only 2% of cases occur in the hand, and thereto metacarpal involvement is a very rare occurrence with only a few cases reported in the literature so far. We report 2 cases of GCT of metacarpal in a young individuals. Histopathological diagnosis was made after an incisional biopsy. Ray amputation was done in case 1 and metacarpal reconstruction using iliac crest graft in 2nd case. both patients had a good function of the hand in follow up. 657
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Poster<br />
Topic: Tumours<br />
Abstract number: 26171<br />
GIANT CELL TUMOR OF THE METACARPAL - A RARE ENTITY<br />
Tarun SURI<br />
Maulana Azad Medical College, Lok Nayak Hospital, New Delh (INDIA)<br />
Giant Cell Tumor (GCT) or Osteoclastoma is a benign locally aggressive tumor with a<br />
tendency for local recurrence. 85-90% of cases occur in the long bones. Only 2% of<br />
cases occur in the hand, and thereto metacarpal involvement is a very rare<br />
occurrence with only a few cases reported in the literature so far. We report 2 cases<br />
of GCT of metacarpal in a young individuals. Histopathological diagnosis was made<br />
after an incisional biopsy. Ray amputation was done in case 1 and metacarpal<br />
reconstruction using iliac crest graft in 2nd case. both patients had a good function of<br />
the hand in follow up.<br />
657
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