Pathologische Fraktur bei osteofibröser Dysplasie

Wirbel, Reiner; Maier, Manuela Denise; Mutschler, Wolf; Marzi, Ingo

doi:10.1007/s001130050758

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Однако R. Wirbel и соавт. [25] описывают случай излечения патологического перелома и остеофиброзной дисплазии в течение 10 мес у ребенка 4,5 лет после внутрикостного остеосинтеза титановым стержнем.…”

Section: Discussionunclassified

Pathological fractures of long bones of the skeleton in children and adolescents in benign tumors and tumor-like diseases

Снетков

Batrakov

Akinshina

et al. 2019

N.N. Priorov Journal of Traumatology and Orthopedics

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This article provides an analysis of 82 patients for the period from 2000 to 2018 aged 5 to 18 years with pathological fractures of the long bones of the skeleton on the basis of benign tumors and tumor-like diseases. Most often, fractures were observed with a solitary bone cysts - 24, an aneurysmal bone cyst - 19, fibrous dysplasia - 20, neosteogenic fibroma - 7, Ollier’s disease - 6, osteofibrous dysplasia - 2, giant-cell tumor - 3, hemangioma - 1. On the basis of the Department of Pediatric Bone Pathology and Adolescent Orthopedics of N.N. Priorov National Medical Research Center of Traumatology and Orthopedics all patients underwent a comprehensive physical exams and surgical treatment. The clinical and radiological picture was studied and the features of the course of pathological fractures were revealed depending on the nosology of the tumor process. It is shown that when a pathological fracture occurs, the treatment approach should be individualized depending on the location of the focus, the patient’s age and nosology.

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Section: Discussionunclassified

Pathological fractures of long bones of the skeleton in children and adolescents in benign tumors and tumor-like diseases

Снетков

Batrakov

Akinshina

et al. 2019

N.N. Priorov Journal of Traumatology and Orthopedics

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“…Hierzu kommen verschiedene, zumeist intramedulläre Stabilisierungsverfahren wie intramedulläre Markdrahtschienung [60] oder solide Marknageltechniken zur Anwendung. Aufgrund der relativ hohen Rezidivrate nach chirurgischen Eingriffen und der gestörten Frakturheilung fibrodysplastischer Herde muss jedoch auch im Falle pathologischer Frakturen die Indikation zur operativen Therapie kritisch überdacht werden.…”

Section: Fibröse Dysplasieunclassified

Behandlungskonzepte bei benignen Knochentumoren und tumorsimulierenden Knochenläsionen

Schaser

Bail

Haas

et al. 2002

Chirurg

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The indications for surgical treatment of benign bone tumors and tumor-like lesions depend on the biological activity, clinical symptoms and anatomic location of the the lesion. Clinically silent lesions ("leave me alone Lesions") lacking any scintigraphic enhancement and without danger of pathologic fracture or malign transformation only need surveillance and do not require surgery.However, tumors becoming symptomatic, displaying progression after termination of skeletal growth or radiographic signs of malignancy should be scheduled for surgical intervention. For most benign tumors intralesional curettage and subsequent bone grafting is the treatment of choice, maintaining structural integrity and functional stability of the bone and adjacent joint. In case of uncertain histopathological diagnosis an open biopsy should be performed followed by definitive either marginal or en-bloc resection, preferably at a single procedure. Depending on the tumor-specific risk of recurrence, adjuvant measures as phenol instillation or cryotherapy using liquid nitrogen may additionally be applied. As for the unicameral juvenile bone cyst or osteoid osteoma alternative minimal invasive techniques like corticoid injection and CT-guided percutaneous eradication of the nidus have been successfully introduced into clinical practice. Depending on the activity of the tumor recurrent lesions are recommended to be treated by marginal or enbloc resection. The radical and aggressive mode of surgical therapy has to be balanced with the treatment-related morbidity, i.e. complication rate, possibilities for reconstructive stabilizations and resultant functional deficits,making the decision a responsible challenge to the orthopedic surgeon.

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FIN and Bone Weakness

Laville¹

2010

Flexible Intramedullary Nailing in Children

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Pathologische Fraktur bei osteofibröser Dysplasie

Cited by 4 publications

References 7 publications

Pathological fractures of long bones of the skeleton in children and adolescents in benign tumors and tumor-like diseases

Pathological fractures of long bones of the skeleton in children and adolescents in benign tumors and tumor-like diseases

Behandlungskonzepte bei benignen Knochentumoren und tumorsimulierenden Knochenläsionen

FIN and Bone Weakness

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