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bones, three principal surgical treatment options exist: intramedullary nail, plate, or (endo) prosthesis. Intramedullary nails offer several advantages: they protect a long segment of bone, the necessary dissection is relatively small, blood supply to
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allograft (78%) ( 3 ). The association of curettage, bone graft, and elastic stable intramedullary nail (ESIN) appears to be more effective, with a success rate of over 85% ( 3 ) ( Fig. 2 ). Figure 2 Male, 6 years old. (A) Simple bone cyst of the
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tissue after surgery. The treatment of a fracture on a bone metastasis varies depending on the location. Centromedullary nails, cephalomedullary nails, hemiarthroplasty, or total arthroplasties with modular prostheses are the main options ( 7 ) ( Figs 2
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.g. plating with cement augmentation/prosthesis, etc. In this way, irredeemable failures, such as intramedullary nailing spanning the entire length of the bone in cases of primary bone sarcoma, can be avoided. Even though patients with a pathological fracture
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AD DF + tibia Arthrodesis (graft + nail) – 24 Neuropathic pain NED, MSTS 77% ( 44 ) 47 M OS DF + partial tibia Arthrodesis (graft + plate) CT 56.4 – NED, MSTS 30 10 M OS
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fractures vary from minimally invasive procedures such as intramedullary nailing, to extensive open procedures such as joint replacement. These surgical procedures in themselves can result in significant perioperative blood loss, which might be increased due
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the form of special intramedullary nails, have been introduced to prevent the risks associated with the use of external fixation devices. Specific concerns for using bone transport as a reconstruction procedure after sarcoma resections are: the
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with the goal of enhancing the patient's quality of life and reducing discomfort. In order to mitigate the imminent danger of a femur fracture, a procedure called comfort osteosynthesis was conducted using gamma nails (D). This technique was selected
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the posterior femur after tumour resection. (G) The resected specimen. (H) Postoperative radiographs of the femur after resection of the tumour and insertion of an intramedullary femoral nail. The most common radiographic appearance of PAO is