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題 名 | Surgical Treatment for Pathological Long Bone Fracture in Patients with Multiple Myeloma: A Retrospective Analysis of 22 Cases=多發性骨髓瘤所導致的長骨病理性骨折的手術治療:22例之分析報告 |
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作 者 | 張守安; 李炫昇; 翁文能; 袁立仁; 施俊雄; | 書刊名 | 長庚醫學 |
卷 期 | 24:5 2001.05[民90.05] |
頁 次 | 頁300-306 |
分類號 | 416.66 |
關鍵詞 | 病理性骨折; 骨水泥; 骨釘失敗; 多發性骨髓瘤; 放射治療; Pathological fracture; Cement; Implant failure; Multiple myelome; Radiation therapy; |
語 文 | 英文(English) |
英文摘要 | Background: The purpose of this study was to retrospectively review the cases of pathologic long bone fractures caused by multiple myeloma treated in our hospital, to analyze the surgical method, complications, radiation therapy, survival time, and influence on quality of life. Methods: In a retrospective study, 22 patients with the pathological long bone fractures due to multiple myeloma who were surgically treated between 1987 and 1997 were analyzed. All patients received open reduction and internal fixation either with plates or intra-medullary nailing. Cement augmentations were performed in the majority of cases (91%). A detailed retrospective analysis was done to correlate the surgical methods, radiation therapy, functional results, and complications post-surgically. Results: The most common site of fracture was the femur. The mean postoperative survival time was around 19 months. Post-operative pain relief was satisfactory, and only two patients required narcotics. No major complications were observed. However the union rate was only 30%, which might have been due to the inhibitory effect of radiation therapy on bone healing, or insufficient osteogentic ability of the myeloma-involved bone. Conclusion: Satisfactory pain relief and low implant failure rate was achieved and no definite evidence of tumor dissemination was found in this study. The authors suggest that open reduction and internal fixation with cement augmentation is a favorable treatment option for those patients suitable for surgery. However, postoperative radiation therapy may be associated with a low rate of union. (Chang Gung Med J 2001;24:300-6) |
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