{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T02:58:45Z","timestamp":1721357925464},"reference-count":18,"publisher":"Begell House","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Long Term Eff Med Implants"],"published-print":{"date-parts":[[2023]]},"abstract":"<p>Pathological fractures of the proximal radius are exceedingly rare. Here, a case of an 81-year-old female diagnosed with multiple myeloma 15 years ago who suffered a pathological fracture of her left proximal radius is presented. Due to the fracture's proximity to the elbow joint and the lack of adjacent healthy bone tissue, a resourceful surgical intervention was implemented using a pediatric flexible nail supplemented by polymethacrylate cement injection. Six weeks post-operatively, the patient had alleviation of the pain with fully functional forearm. This novel approach could possibly aid in the treatment of other long bone pathological fractures due to neoplastic metastases.\n\n<\/p>","DOI":"10.1615\/jlongtermeffmedimplants.2022044050","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T21:02:22Z","timestamp":1664398942000},"page":"67-70","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of Pathological Fracture of Radius due to Multiple Myeloma with Elastic Intramedullary Nail and Cement Augmentation: Expanding the Indications of Elastic Nails"],"prefix":"10.1615","volume":"33","author":[{"given":"Zisis","family":"Ntontis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos","family":"Koutserimpas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Chaniotakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Stavrakakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Samonis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalliopi","family":"Alpantaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"613","reference":[{"key":"1","doi-asserted-by":"crossref","DOI":"10.1186\/1757-1626-2-9154","article-title":"Primary plasmacytoma of the cranial vault: A case report","volume":"2","author":"Zigouris A.","year":"2009","journal-title":"Cases J"},{"issue":"7","key":"2","doi-asserted-by":"crossref","first-page":"410","DOI":"10.5435\/00124635-201107000-00004","article-title":"Multiple myeloma: Diagnosis and orthopaedic implications","volume":"19","author":"Scharschmidt T.J.","year":"2011","journal-title":"J Am Acad Orthop Surg"},{"issue":"4","key":"3","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.3324\/haematol.2019.230011","article-title":"Fractures and survival in multiple myeloma: Results from a population-based study","volume":"105","author":"Thorsteinsdottir S.","year":"2020","journal-title":"Haematologica"},{"issue":"6","key":"4","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/j.hoc.2007.08.009","article-title":"Pathophysiology of multiple myeloma bone disease","volume":"21","author":"Lentzsch S.","year":"2007","journal-title":"Hematol Oncol Clin North Am"},{"issue":"3","key":"5","doi-asserted-by":"crossref","first-page":"656","DOI":"10.2214\/AJR.08.2002","article-title":"Pathologic fractures in patients with multiple myeloma undergoing bisphosphonate therapy: Incidence and correlation with course of disease","volume":"193","author":"Vogel M.N.","year":"2009","journal-title":"Am J Roentgenol"},{"issue":"3","key":"6","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1359\/JBMR.041131","article-title":"Fracture risk with multiple myeloma: A population-based study","volume":"20","author":"Melton","year":"2005","journal-title":"J Bone Miner Res"},{"issue":"1","key":"7","doi-asserted-by":"crossref","DOI":"10.1186\/1756-9966-27-11","article-title":"Effect of pathologic fractures on survival in multiple myeloma patients: A case control study","volume":"27","author":"Sonmez M.","year":"2008","journal-title":"J Exp Clin Cancer Res"},{"issue":"1","key":"8","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1148\/radiology.204.1.9205246","article-title":"Vertebral compression fractures in multiple myeloma. Part I. Distribution and appearance at MR imaging","volume":"204","author":"Lecouvet F.E.","year":"1997","journal-title":"Radiology"},{"key":"9","doi-asserted-by":"crossref","DOI":"10.1186\/1749-799X-5-26","article-title":"Hypertrophic non-union of a pathological forearm fracture secondary to multiple myeloma: A case report","volume":"5","author":"Okoro T.","year":"2010","journal-title":"J Orthop Surg Res"},{"key":"10","unstructured":"Stryker. T2 Kids. Pediatric Flexible Nail. Operative Technique. Germany: Stryker Trauma GmbH; 2008 [cited April 2022]. Available from: https:\/\/www.strykermeded. com\/media\/1653\/t2-kids-nail.pdf."},{"issue":"3","key":"11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1111\/os.12267","article-title":"Consensus on surgical management of myeloma bone disease","volume":"8","author":"Surgeon's Committee of the Chinese Myeloma Working Group of the International Myeloma Foundation","year":"2016","journal-title":"Orthop Surg"},{"issue":"6","key":"12","first-page":"10017","article-title":"Comparative analysis of the surgical treatment results for multiple myeloma bone disease of the spine and the long bone\/soft tissue","volume":"15","author":"Shen J.","year":"2018","journal-title":"Oncol Lett"},{"issue":"3","key":"13","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.canep.2015.01.015","article-title":"Epidemiology of musculoskeletal tumors in a national referral orthopedic department. A study of 3482 cases","volume":"39","author":"Bergovec M.","year":"2015","journal-title":"Cancer Epidemiol"},{"issue":"5","key":"14","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1302\/2058-5241.1.000008","article-title":"Treatment of pathological fractures of the long bones","volume":"1","author":"Willeumier J.J.","year":"2017","journal-title":"EFORT Open Rev"},{"issue":"1","key":"15","article-title":"Reconstruct the proximal radius with iliac graft and elastic intramedullary nail fixation after tumor resection","volume":"14","author":"Zhu B.","year":"2016","journal-title":"World J Surg Oncol"},{"key":"16","first-page":"643","volume-title":"AO principles of fracture management","volume":"2","author":"Heim D.","year":"2007"},{"issue":"1","key":"17","article-title":"Flexible nail capable of bone cement injection for minimally invasive surgery of metastatic bone cancer","volume":"2","author":"Kang H.G.","year":"2017","journal-title":"Surg Oncol Clin Pract J"},{"issue":"1","key":"18","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.suronc.2010.09.001","article-title":"Minimally invasive surgery of humeral metastasis using flexible nails and cement in high-risk patients with advanced cancer","volume":"20","author":"Kim J.H.","year":"2011","journal-title":"Surg Oncol"}],"container-title":["Journal of Long-Term Effects of Medical Implants"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.dl.begellhouse.com\/download\/article\/2717e88f652e6336\/JLT-44050.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T09:37:13Z","timestamp":1674466633000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.dl.begellhouse.com\/journals\/1bef42082d7a0fdf,6bb40c771d6fb8c2,2717e88f652e6336.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1615\/jlongtermeffmedimplants.2022044050","relation":{},"ISSN":["1050-6934"],"issn-type":[{"value":"1050-6934","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]}}}