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Clinical and functional comparison of dynamic hip screws and intramedullary nails for treating proximal femur metastases in older individuals

引用

Chinese Journal of cancer Research 2020年第3期32卷 395-402页

作者： Hua Gao Xiaodong Bai Wentao Chen Yadong Li Liang Zhao Changgui Liu Zhenyu Liu Baojun Wang Department of Orthopaedics Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

Objective:To compare the outcomes of dynamic hip screws(DHS)and intramedullary nailing(IMN)in the treatment of extra-capsular metastatic carcinoma of the proximal ***:A retrospective case analysis method was used to examine data of patients with proximal metastatic cancer of the femur who were treated with internal fixation in Department of Orthopaedics,Beijing Friendship Hospital,from January 2007 to December *** loss,postoperative pain,functional score,length of stay,and survival rates were compared,and postoperative complications were ***:Complete follow-up data were available for 33 *** mean follow-up period was 12.2±3.6(range:9-32)months and the average age was 72.3±4.7(range:59-83)years *** were 20 females and 13 ***-three patients had undergone IMN and 10 DHS,according to bone defects and the patient’s overall *** median survival time was 10 months in the IMN group and 11 months in the DHS *** of surgery(t=-7.366,P<0.001)and length of hospital stay(t=-3.509,P<0.001)differed significantly between the two *** was one case of breakage of internal fixation in the IMN ***:There was no significant difference between DHS and IMN in terms of surgical *** and DHS were different in terms of surgical time and hospital ***,due to the limited number of cases in this study,multi-factor analysis has not been performed and needs to be further verified in future *** developing a surgical plan,it is recommended to consider the patient’s condition and the surgeon’s experience.

关键词： Proximal femur bone metastatic cancer dynamic hip screw(DHS) intramedullary nail(IMN) bone cements

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