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The treatment of metastasis to the femoral neck using percutaneous hollow perforated screws with cement augmentation

Cited 17 time in Web of Science Cited 18 time in Scopus
Authors

Kang, H. G.; Roh, Y. W.; Kim, H. S.

Issue Date
2009-08
Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
Citation
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME; Vol.91B 8; 1078-1082
Abstract
We have developed a hollow perforated cannulated screw. One or more of these was implanted percutaneously in 11 patients with an osteolytic metastasis in the femoral neck and multiple metastases elsewhere. They were supplemented by one or two additional standard 6.5 mm cannulated screws in nine patients. Polymethylmethacrylate bone cement was injected through the screw into the neck of the femur using small syringes, as in vertebroplasty. The mean amount of cement injected was 23.2 ml (17 to 30). Radiotherapy was started on the fourth post-operative day and chemotherapy, on average, was resumed a day later. Good structural stability and satisfactory relief from pain were achieved in all the patients. This technique may be useful in the palliation of metastases in the femoral neck.
ISSN
0301-620X
Language
English
URI
https://hdl.handle.net/10371/78433
DOI
https://doi.org/10.1302/0301-620X.91B8.21892
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