Previous | Next
Surgical management of metastatic disease of the proximal femur
Purpose. To review the surgical treatment for
metastatic disease of the proximal femur.
Methods. Records of 8 patients who underwent
endoprosthetic replacement with tumour resection
(group 1) and 8 others who underwent intramedullary
nailing without tumour resection (group 2) were
reviewed. Treatments were based on the disease
progression and patientâ€™s condition.
Results. In groups 1 and 2, the respective mean
survival periods were 16 and 4 months. All patients in
group 1 regained preoperative mobility, but only one
patient in group 2 was able to walk with crutches.
Conclusion. This was a retrospective, rather than
comparative study of endoprothetic replacement
and intramedullary nailing for metastatic disease of
the proximal femur. Both procedures are considered
palliative, and not curative. The longer survival
period in group 1 was mainly due to selection of patients with better preoperative medical status.
H Hattori, J Mibe, H Matsuoka, S Nagai, K Yamamoto Journal of Orthopaedic Surgery 2007;15(3):295-8
Type: Reference Material
Author/Contact: Hattori et al
Submitted by: admin
Added: Sat Sep 12 2009