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악성 골종양 및 병적골절에서 보조적 Bone Cement를 이용한 치험례
윤승호,김옥년 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2
Methylmethacrylate has been used in the treatment of bone tumor and pathologic fracture Which was difficult or impossible by conventional methods such as currettage, en bloc resection, bone graft, and prosthetic replacement or amputation of extremity. We had been treated the 11 cases of bone tumor and pathologic fraeture by the use of ploymethacrylate bone cement and review the results during a period of 3 years from January, 1979 to Jaunary, 1982 and reported it with the review the literature. The results were as follow: 1. Among the 11 cases, giant cell tumor was 5 cases, metastatic tumor was 3 cases, osteogenic sarcoma was 2 cases, and fibrous dysplasia was one cases. 2. The complication and undesirable effect were fracture, deep infection and tissue necrosis in early and joint stiffness near the lesion and death which was disease associated. 3. This procedure were adjunctivel performed upon the metalic internal or intramedullary fixation and compositively by filling on the dead space after currettage with or without bone graft, and this procedure was not difficult and obtained an effective fixation and stabillity. 4. The use of methylmethaerylate bone cement has long been accepted by many orthopedic surgeons and the benefits afforded to the patient are good in our clinical study.
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