title: [A new technique of segmental bone replacement in metastatic osteolysis in long bones].
abstract: Intercalary replacement is a valuable option in the treatment of diaphysary long bone metastases. In certain cases methylmethacrylate bone cement may be used as a cheap and readily available alternative to modular or custom-made prostheses. Stabilization is best performed by locked intramedullary nailing. By cutting open the cylindric part of a large syringe and placing it around the bone ends after resection a mould is created where liquid bone cement can be filled in. Thus spilling of liquid methacrylate into the adjacent soft tissues is prevented. After curing this results in a smooth round intercalary segment with perfect contact to the bone ends allowing early postoperative mobilization.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie Augsburg.
authors.forename: K
authors.initials: K
authors.lastname: Kundel
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000150:complications / Q000556:secondary / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005269:Femur / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery; D006801:Humans; D006811:Humerus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology / Q000601:surgery*; D010166:Palliative Care; D013977:Tibia / Q000601:surgery
chemical_list: D001843:Bone Cements