Abstract
Cement augmentation of bone defect in pathological humeral diaphyseal fracture treated with retrograde intramedullary nail
Highlights
Pathological fractures of long bones secondary to metastatic lesions are common.[1]
TECHNIQUE The patient was placed in a lateral position with the operative limb over an armrest
CORRESPONDENCE TO Trifonas Papettas, E: trifpapettas@hotmail.com. This technique enables a tube of smooth cement mantle to be created, surrounding the intramedullary nail at the site of the bone defect
Summary
Pathological fractures of long bones secondary to metastatic lesions are common.[1]. Management of pathological humeral diaphyseal fractures with bone loss is challenging. TECHNIQUE The patient was placed in a lateral position with the operative limb over an armrest. The posterior approach was taken to the elbow with an incision through the triceps aponeurosis down to the bone. A tumour involving soft tissue was debulked and curettage of the lesion performed. There was a 6cm bone defect involving the distal third of the humerus (Fig 3).
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