RUDN Journal of Medicine

Вестник Российского университета дружбы народов. Серия: Медицина

2313-02452313-0261

Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)

24438

10.22363/2313-0245-2020-24-3-237-244

TRAUMATOLOGY AND ORTHOPEDICS

ТРАВМАТОЛОГИЯ И ОРТОПЕДИЯ

Review Article

Comparative analysis of surgical interventions in the treatment of patients with metastatic lesions of the femur in combination with pathological fractures

Сравнительный анализ хирургических вмешательств в лечении пациентов с метастатическим поражением бедренной кости в сочетании с патологическими переломами

Wang

Jun

Ван

Цзюнь

kbcbwb2000@163.com

Kharchenko

N. V

Харченко

Н. В

kbcbwb2000@163.com

Peoples’ Friendship University of Russia (RUDN University)Российский университет дружбы народов

15122020

243

VOL 24, NO3 (2020)

ТОМ 24, №3 (2020)

23724426082020

2020

Wang J., Kharchenko N.V.

Ван Ц., Харченко Н.В.

http://creativecommons.org/licenses/by/4.0

https://journals.rudn.ru/medicine/article/view/24438

One of the most severe complications of metastatic lesion of the skeleton is the development of a pathological fracture, which not only affects the quality of life, makes it difficult to carry out adequate systemic treatment, but also has a negative effect on survival. In case of a pathological fracture, the main method of treatment is a surgical method. The main goal of the correction is to achieve stability and reduce metastatic pain in the area of damage or fracture. Today, the most popular organ-preserving operations for metastatic lesions of the femur in combination with pathological fractures are endoprosthesis and intramedullary osteosynthesis. In this paper, a comparative analysis of the results of their use is carried out, the advantages and disadvantages of each of the methods are described.

Одним из наиболее тяжелых осложнений метастатического поражения костей скелета является развитие патологического перелома, который не только ухудшает качество жизни, затрудняет проведение адекватного системного лечения, но и негативно влияет на общую выживаемость. При патологическом переломе основным методом лечения является хирургический. Основной целью коррекции является достижение стабильности и снижение болевого синдрома в области поражения или перелома. На сегодняшний день наиболее популярными органосохраняющими операциями при метастатическом поражении бедренной кости, в сочетании с патологическим переломом, являются эндопротезирование и интрамедуллярный остеосинтез. В данной работе проведен сравнительный анализ результатов их использования, описаны преимущества и недостатки каждой из методик.

Bone metastasesfemursurgical treatmentendoprosthesisintramedullary osteosynthesisand pathological fracture

метастазы в костибедренная костьхирургическое лечениеэндопротезированиеинтрамедуллярный остеосинтезпатологический перелом

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