骨硬化のため髄内釘手術に難渋した大腿骨近位部転移性骨腫瘍の2症例

Key Points

• To report two cases of difficult intramedullary nailing in femoral metastatic tumors due to bone sclerosis.
• Presented two cases involving patients with bone metastasis from breast cancer.
• Described surgical approaches, including direct reaming and wire fixation, due to challenges with bone sclerosis.
• Monitored surgical time and blood loss during procedures.
• Both cases involved significant bone sclerosis complicating intramedullary nail insertion.
• Surgical times were 224 minutes and 279 minutes, with blood loss of 210ml and 200ml respectively.
• The addition of wire fixation was needed in one case due to fracture during nail insertion.

Abstract