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The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report
INTRODUCTION: Hypervascular tumors such as renal and thyroid carcinoma have a significant risk of intraoperative bleeding. To help mitigate bleeding, interventional preoperative embolization is traditionally used; however, it is success is highly variable. This is the first case report to discuss us...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519327/ https://www.ncbi.nlm.nih.gov/pubmed/37753123 http://dx.doi.org/10.13107/jocr.2023.v13.i09.3906 |
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author | Vemu, Sree M Farii, Humaid Al Bird, Justin E Lin, Patrick P Lewis, Valerae O Patel, Shalin S |
author_facet | Vemu, Sree M Farii, Humaid Al Bird, Justin E Lin, Patrick P Lewis, Valerae O Patel, Shalin S |
author_sort | Vemu, Sree M |
collection | PubMed |
description | INTRODUCTION: Hypervascular tumors such as renal and thyroid carcinoma have a significant risk of intraoperative bleeding. To help mitigate bleeding, interventional preoperative embolization is traditionally used; however, it is success is highly variable. This is the first case report to discuss using expandable balloon implants with a minimally invasive approach to achieve fracture fixation and tamponade acute intraoperative bleeding. CASE REPORT: A 48-year-old male with clear-cell renal cell carcinoma presented with a left humeral shaft pathologic fracture. The patient was scheduled to undergo open biopsy, curettage of tumor, and fracture fixation with an intramedullary device. Intraoperatively, during open biopsy and curettage, brisk bleeding was encountered, which ceased after inserting an intramedullary photodynamic bone stabilization implant (IlluminOss). The implant’s balloon expanded to the diameter of the humerus allowing for tamponade, fracture stability, and a minimally invasive approach. CONCLUSION: We present a possible intraoperative option for achieving control of bleeding in pathologic long bone fractures by deploying a photodynamic stabilization device. The method described can have applications in specific patients and obviate the need for pre-operative embolization for highly vascular tumors due to the implant’s ability to create tamponade within the bone. |
format | Online Article Text |
id | pubmed-10519327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105193272023-09-26 The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report Vemu, Sree M Farii, Humaid Al Bird, Justin E Lin, Patrick P Lewis, Valerae O Patel, Shalin S J Orthop Case Rep Case Report INTRODUCTION: Hypervascular tumors such as renal and thyroid carcinoma have a significant risk of intraoperative bleeding. To help mitigate bleeding, interventional preoperative embolization is traditionally used; however, it is success is highly variable. This is the first case report to discuss using expandable balloon implants with a minimally invasive approach to achieve fracture fixation and tamponade acute intraoperative bleeding. CASE REPORT: A 48-year-old male with clear-cell renal cell carcinoma presented with a left humeral shaft pathologic fracture. The patient was scheduled to undergo open biopsy, curettage of tumor, and fracture fixation with an intramedullary device. Intraoperatively, during open biopsy and curettage, brisk bleeding was encountered, which ceased after inserting an intramedullary photodynamic bone stabilization implant (IlluminOss). The implant’s balloon expanded to the diameter of the humerus allowing for tamponade, fracture stability, and a minimally invasive approach. CONCLUSION: We present a possible intraoperative option for achieving control of bleeding in pathologic long bone fractures by deploying a photodynamic stabilization device. The method described can have applications in specific patients and obviate the need for pre-operative embolization for highly vascular tumors due to the implant’s ability to create tamponade within the bone. Indian Orthopaedic Research Group 2023-09 2023-09 /pmc/articles/PMC10519327/ /pubmed/37753123 http://dx.doi.org/10.13107/jocr.2023.v13.i09.3906 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Vemu, Sree M Farii, Humaid Al Bird, Justin E Lin, Patrick P Lewis, Valerae O Patel, Shalin S The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title | The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title_full | The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title_fullStr | The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title_full_unstemmed | The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title_short | The Use of Photodynamic Bone Stabilization to Tamponade Bleeding in a Pathologic Humeral Shaft Fracture: A Case Report |
title_sort | use of photodynamic bone stabilization to tamponade bleeding in a pathologic humeral shaft fracture: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519327/ https://www.ncbi.nlm.nih.gov/pubmed/37753123 http://dx.doi.org/10.13107/jocr.2023.v13.i09.3906 |
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