Orthopedics
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Clinical Trial
Compound osteosynthesis for osteolyses and pathological fractures of the proximal femur.
Due to improved oncological therapeutic procedures with longer survival times, the stabilization of osteolyses and pathological fractures is gaining importance. The proximal femur is often affected by metastases. As femoral stability can be compromised by such bone lesions, stabilization as a palliative measure is indicated to restore function and relieve pain. ⋯ No surgical revision was required due to perioperative complications in any case. We conclude that reliable stabilization of extensive osteolyses and pathological fractures of the proximal femur can be achieved with compound osteosynthesis. Our data suggest that double-plate compound osteosyntheses is a more favorable technique than single-plate compound osteosyntheses based on a lower rate of mechanical failure and higher survival probability.
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In contrast to radicular pain during pregnancy, the incidence of postpartum radicular pain is rare. Sacral stress fractures are unusual but important causes for low-back and buttock pain and even postpartum radicular pain. To date, only 10 postpartum sacral stress fractures have been reported in the literature, with two descriptions of radicular pain as the presenting symptom. ⋯ Bone scintigraphy and computed tomography are considered harmful for the fetus. Magnetic resonance imaging, which is more suitable for pregnancy, is more sensitive than bone scintigraphy in revealing stress injuries of the bone. Physical examination and proper radiologic evaluation are the main keys for revealing the pathology.