Journal of Orthopedics and Joint Surgery

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VOLUME 4 , ISSUE 2 ( July-December, 2022 ) > List of Articles

CASE REPORT

Management of Rare Case of Solitary Metastasis Shaft of Humerus with Pathological Fracture with Intercalary Resection and Nail Cement Implantation: A Case Report

Karthik Velayudham, Rajavarman Solayapan, Subin Sugath

Keywords : Intercalary, Metastasis, Nail cement spacer, Pain relief, Solitary metastasis

Citation Information : Velayudham K, Solayapan R, Sugath S. Management of Rare Case of Solitary Metastasis Shaft of Humerus with Pathological Fracture with Intercalary Resection and Nail Cement Implantation: A Case Report. 2022; 4 (2):85-87.

DOI: 10.5005/jp-journals-10079-1086

License: CC BY-NC 4.0

Published Online: 31-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Solitary humerus metastasis presenting with pathological fractures are relatively rare. Pathological fractures are invariably fixed in view of early mobilization, pain relief, part of palliative protocol, and disease activity debulking. Pain relief was better with plate osteosynthesis with bone cement compared to intramedullary nailing. Complication rates were equal with both these procedures including local and systemic complications. Complication rates are higher with nonlocking intramedullary nailing. Here we report a case of 70-year-old male presenting with pathological fracture humerus which was diagnosed later to be a metastatic lesion with adenocarnimoa lung. Evaluation and approach to this case is challenging to orthopedic surgeons without extensive knowledge in tumor and metastatic aspects. Hence this case report would be a valuable concise brief of this case presentation, approach, and step by step management with a brief literature review.


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