Metastatic disease to the hip and pelvis: Surgical management

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Metastatic disease to the pelvis and lower extremity is a significant contributor to morbidity in patients with metastatic cancer. When indicated, surgical prevention of pathologic fractures and treatment of established fractures can preserve patient mobility, dramatically increase pain control, and prevent associated co-morbidities. Forty percent of bony metastases occur in the pelvis and 25% in the femur. Because of the limited life expectancy and debilitated nature of patients undergoing palliative surgery for metastatic disease, the surgical construct should allow immediate unrestricted weight bearing. All areas of the bone should be imaged and all significantly involved portions of the bone should be addressed with the reconstruction. Postoperative radiation therapy should be considered. With appropriate technique and implant selection, outcomes of surgical management are generally very good.

Original languageEnglish (US)
Pages (from-to)78-87
Number of pages10
JournalTechniques in Orthopaedics
Volume22
Issue number2
DOIs
StatePublished - Jun 1 2007
Externally publishedYes

Keywords

  • Metastatic disease
  • Surgical reconstruction
  • Tumors of femur
  • Tumors of hip
  • Tumors of pelvis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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