J Korean Orthop Assoc.  1977 Dec;12(4):785-791. 10.4055/jkoa.1977.12.4.785.

The Use of Methylmethacrylate as an Adjunct in the Internal Fixation of the Fracture in Elderly Patients and malignant Neoplastic Fracture

• Yoo CI

• KMID: 2460682
• DOI: http://doi.org/10.4055/jkoa.1977.12.4.785

Abstract

The primary aims in the management of fractures in the aged and malignant neoplastic fracture should be relief of pain, mobilization as soon as possible, and return to normal environment and activities within resonable time. Unfortunately, in many cases there is so much osteoporosis and comminution of the fracture in the aged person, and so much destruction of bone in malignant neoplastic fractures that secure internal fixation and early return to normal activity are difficult and impossible by conventional method. The author had been treated the three cases of the fracture in elderly person and a case of pathologic fracture of giant cell tumor in proximal third of tibia by use of methylmethacrylate as an adjunct in the internal fixation of the fracture. The results obtain were as follows: 1. The use of methylmethacrylate for fixation is not difficulty technically and obtain rigid stabilization after operation. 2. The three cases became ambulatory, bearing partial and full weight on affected extremities by use of crutch at an average two week after operation. 3. There are no complication postoperatively because of early ambulation. 4. A case of malignant giant cell tumor was performed amputation at postoperative eight months because of more destruction and extension of bone and tumor tissue.

MeSH Terms

Aged*
Amputation
Early Ambulation
Extremities
Fractures, Spontaneous
Giant Cell Tumors
Humans
Methods
Methylmethacrylate*
Osteoporosis
Tibia
Methylmethacrylate