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Intramedullary Nailing for Pathological Fractures of the Proximal Humerus
BACKGROUND: Endoprosthetic reconstruction is widely applied for pathological fractures of the proximal humerus; however, functional impairment is usually unsatisfactory. The aims of the current study are to evaluate the reliability of interlocking intramedullary (IM) nailing with cement augmentation...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Orthopaedic Association
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114260/ https://www.ncbi.nlm.nih.gov/pubmed/27904730 http://dx.doi.org/10.4055/cios.2016.8.4.458 |
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author | Choi, Eun-Seok Han, Ilkyu Cho, Hwan Seong Park, In Woong Park, Jong Woong Kim, Han-Soo |
author_facet | Choi, Eun-Seok Han, Ilkyu Cho, Hwan Seong Park, In Woong Park, Jong Woong Kim, Han-Soo |
author_sort | Choi, Eun-Seok |
collection | PubMed |
description | BACKGROUND: Endoprosthetic reconstruction is widely applied for pathological fractures of the proximal humerus; however, functional impairment is usually unsatisfactory. The aims of the current study are to evaluate the reliability of interlocking intramedullary (IM) nailing with cement augmentation as a fixation method in proximal humeral lesions and to assess functional outcomes. METHODS: We reviewed 32 patients with pathological fractures of the proximal humerus who underwent interlocking IM nailing and cement augmentation. Functional scores and pain relief were assessed as outcomes. RESULTS: The mean follow-up period was 14.2 months. The mean Musculoskeletal Tumor Society functional score and Karnofsky performance status scale score were 27.7 and 75.6, respectively. Improvement of pain assessed using the visual analogue scale was 6.2 on average. Thirty-one patients (97%) experienced no pain after surgery. The mean ranges of forward flexion and abduction were 115° and 112.6°, respectively. All patients achieved stability and had no local recurrence without failure of fixation until the last follow-up. CONCLUSIONS: Proximal interlocking IM nailing with cement augmentation appears to be a reliable treatment option for pathological or impending fractures of the proximal humerus in selected patients with metastatic tumors, even with extensive bone destruction. |
format | Online Article Text |
id | pubmed-5114260 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-51142602016-12-01 Intramedullary Nailing for Pathological Fractures of the Proximal Humerus Choi, Eun-Seok Han, Ilkyu Cho, Hwan Seong Park, In Woong Park, Jong Woong Kim, Han-Soo Clin Orthop Surg Original Article BACKGROUND: Endoprosthetic reconstruction is widely applied for pathological fractures of the proximal humerus; however, functional impairment is usually unsatisfactory. The aims of the current study are to evaluate the reliability of interlocking intramedullary (IM) nailing with cement augmentation as a fixation method in proximal humeral lesions and to assess functional outcomes. METHODS: We reviewed 32 patients with pathological fractures of the proximal humerus who underwent interlocking IM nailing and cement augmentation. Functional scores and pain relief were assessed as outcomes. RESULTS: The mean follow-up period was 14.2 months. The mean Musculoskeletal Tumor Society functional score and Karnofsky performance status scale score were 27.7 and 75.6, respectively. Improvement of pain assessed using the visual analogue scale was 6.2 on average. Thirty-one patients (97%) experienced no pain after surgery. The mean ranges of forward flexion and abduction were 115° and 112.6°, respectively. All patients achieved stability and had no local recurrence without failure of fixation until the last follow-up. CONCLUSIONS: Proximal interlocking IM nailing with cement augmentation appears to be a reliable treatment option for pathological or impending fractures of the proximal humerus in selected patients with metastatic tumors, even with extensive bone destruction. The Korean Orthopaedic Association 2016-12 2016-11-04 /pmc/articles/PMC5114260/ /pubmed/27904730 http://dx.doi.org/10.4055/cios.2016.8.4.458 Text en Copyright © 2016 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Choi, Eun-Seok Han, Ilkyu Cho, Hwan Seong Park, In Woong Park, Jong Woong Kim, Han-Soo Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title | Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title_full | Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title_fullStr | Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title_full_unstemmed | Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title_short | Intramedullary Nailing for Pathological Fractures of the Proximal Humerus |
title_sort | intramedullary nailing for pathological fractures of the proximal humerus |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114260/ https://www.ncbi.nlm.nih.gov/pubmed/27904730 http://dx.doi.org/10.4055/cios.2016.8.4.458 |
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