臨床整形外科54巻10号

2019年10月発行

誌上シンポジウム がん診療×整形外科「がんロコモ」

病的骨折は骨軟部腫瘍専門医の手術か？

著者： 岡田寛之¹

所属機関： ¹東京大学整形外科

ページ範囲：P.997 - P.1000

　四肢病的骨折の手術は，がんの知識と外傷の知恵が必要であり，骨軟部腫瘍専門医に加え，整形外科医が協力して行う必要がある．整形外傷の中でも，ホットでチャレンジングな課題である．

　病的骨折への手術の目的は，除痛，機能再建に加え，病巣コントロール，かつperformance status(PS)を良好に保ち，次のがん治療に円滑に橋渡しすることである．手術適応は，種々のスコアを参考にしつつ，総合的に判断する．大腿骨転子部病的骨折の術式選択は，予後を参考にする場合がある．周術期管理には，血栓症など骨折一般と同様の配慮が必要である．

参考文献

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