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Treatment of Pathologic Fracture of the Humeral Diaphysis Using Metal andPolymer Express Endoprosthetic Replacement as an Example of the Accelerated Rehabilitation of Cancer Patients

https://doi.org/10.23934/2223-9022-2020-9-1-130-135

Abstract

ABSTRACT. We report a case of treatment of a 60-year-old female patient D. with a metastatic fracture of the upper and middle third of the left humerus. We made a radical removal of the metastasis, which was complicated by pathological fracture of the left humerus. To replace the removed tumor defect we performed metal and polymer endoprosthetic replacement of the left humeral diaphysis using a locking screw system and bone cement (methyl methacrylate). For accelerated recovery and rehabilitation we applied adaptogenic immunomodulator «Vitavis» (Altai elixir) and neutral anolyte (NA). After the removal of the tumor, postoperative wound was treated with neutral anolyte (NA). Dressings also contained neutral anolyte (NA). These drugs were successfully combined with postoperative basic therapy. The patient was discharged from the hospital on the 4th day after surgery. The functional results of the left upper limb are satisfactory.

About the Authors

A. K. Antonov
Ekran, Academy of Medical and Technical Sciences
Russian Federation
Anatoly K. Antonov, Researcher


V. M. Kochemasov
S.S. Yudin City Clinical Hospital of the Moscow Health Department
Russian Federation
Cand. Med. Sci., Traumatologist of the Trauma and Orthopedics Department No. 2


A. V. Filimonyuk-Smelkov
Hospital of the Scientific Center of the Russian Academy of Sciences
Russian Federation
Dr. Med. Sci., Oncologist, Surgeon, Head of the Department of Oncology


D. S. Mekhtikhanov
S.S. Yudin City Clinical Hospital of the Moscow Health Department
Russian Federation
Traumatologist


A. A. Antonov
Priorov National Medical Research Center for Traumatology and Orthopedics
Russian Federation
Post-graduate student


K. A. Antonov
Priorov National Medical Research Center for Traumatology and Orthopedics
Russian Federation
Oncologist


V. G. Yagubov
Priorov National Medical Research Center for Traumatology and Orthopedics
Russian Federation
Resident


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For citations:


Antonov A.K., Kochemasov V.M., Filimonyuk-Smelkov A.V., Mekhtikhanov D.S., Antonov A.A., Antonov K.A., Yagubov V.G. Treatment of Pathologic Fracture of the Humeral Diaphysis Using Metal andPolymer Express Endoprosthetic Replacement as an Example of the Accelerated Rehabilitation of Cancer Patients. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(1):130-135. https://doi.org/10.23934/2223-9022-2020-9-1-130-135

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)