Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases

Abstract Background To investigate the clinical efficacy of a percutaneous “tripod” combined with radiofrequency ablation and bone cement filling surgery in treating acetabular bone metastases. Methods We retrospectively analyzed 11 patients who underwent percutaneous “tripod” combined with radiofre...

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Main Authors: Yun Lan, Ruoyu Li, Linheng Jiang, Nannan Zhou, Mincon He, Bin Fang, Chunzhi Yi
Format: Article
Language:English
Published: BMC 2023-10-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04255-w
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author Yun Lan
Ruoyu Li
Linheng Jiang
Nannan Zhou
Mincon He
Bin Fang
Chunzhi Yi
author_facet Yun Lan
Ruoyu Li
Linheng Jiang
Nannan Zhou
Mincon He
Bin Fang
Chunzhi Yi
author_sort Yun Lan
collection DOAJ
description Abstract Background To investigate the clinical efficacy of a percutaneous “tripod” combined with radiofrequency ablation and bone cement filling surgery in treating acetabular bone metastases. Methods We retrospectively analyzed 11 patients who underwent percutaneous “tripod” combined with radiofrequency ablation and bone cement filling for acetabular bone metastases at a tertiary care hospital from February 2021 to December 2022. Results 11 cases with 13 hips underwent this procedure, including two female patients who underwent both sides, and the rest were unilateral. All cases were followed up for 3–24 months, with a mean of 12 months and a median follow-up time of 11 months. Two of the 11 patients died by the final follow-up, and nine survived. One died 7 months after surgery, and one died 8 months after surgery; the survival of the deceased patients was 7.5 months (range: 7–8 months), with a median survival time of 7.5 months. All 11 patients completed the surgery successfully, and the average unilateral operation time was 167.4 min (148–193). The amelioration of postoperative pain, concomitant with improved quality of life, was observed significantly, ultimately resulting in a prolonged and sustained effect. Conclusions The combination of percutaneous “tripod”, radiofrequency ablation, and bone cement filling can effectively relieve pain without delaying the patient's systemic anti-tumor therapy and is a minimally invasive, safe, and effective procedure for the treatment of periacetabular metastases.
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spelling doaj.art-844f1d1164af421fad8ea55b36c0be1c2023-11-26T13:48:45ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-10-011811910.1186/s13018-023-04255-wClinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastasesYun Lan0Ruoyu Li1Linheng Jiang2Nannan Zhou3Mincon He4Bin Fang5Chunzhi Yi6Department of Orthopedic Oncology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Orthopedic Oncology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineThe First Clinical Medical College of Guangzhou University of Chinese MedicineDepartment of Orthopedic Oncology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineGuangdong Academy of Traditional Chinese Medicine Orthopedics and TraumatologyDepartment of Orthopedic Oncology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Orthopedic Oncology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineAbstract Background To investigate the clinical efficacy of a percutaneous “tripod” combined with radiofrequency ablation and bone cement filling surgery in treating acetabular bone metastases. Methods We retrospectively analyzed 11 patients who underwent percutaneous “tripod” combined with radiofrequency ablation and bone cement filling for acetabular bone metastases at a tertiary care hospital from February 2021 to December 2022. Results 11 cases with 13 hips underwent this procedure, including two female patients who underwent both sides, and the rest were unilateral. All cases were followed up for 3–24 months, with a mean of 12 months and a median follow-up time of 11 months. Two of the 11 patients died by the final follow-up, and nine survived. One died 7 months after surgery, and one died 8 months after surgery; the survival of the deceased patients was 7.5 months (range: 7–8 months), with a median survival time of 7.5 months. All 11 patients completed the surgery successfully, and the average unilateral operation time was 167.4 min (148–193). The amelioration of postoperative pain, concomitant with improved quality of life, was observed significantly, ultimately resulting in a prolonged and sustained effect. Conclusions The combination of percutaneous “tripod”, radiofrequency ablation, and bone cement filling can effectively relieve pain without delaying the patient's systemic anti-tumor therapy and is a minimally invasive, safe, and effective procedure for the treatment of periacetabular metastases.https://doi.org/10.1186/s13018-023-04255-wAcetabulumMetastasesTripodRadiofrequency ablationBone cement
spellingShingle Yun Lan
Ruoyu Li
Linheng Jiang
Nannan Zhou
Mincon He
Bin Fang
Chunzhi Yi
Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
Journal of Orthopaedic Surgery and Research
Acetabulum
Metastases
Tripod
Radiofrequency ablation
Bone cement
title Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
title_full Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
title_fullStr Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
title_full_unstemmed Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
title_short Clinical efficacy analysis of percutaneous “tripod” combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
title_sort clinical efficacy analysis of percutaneous tripod combined with radiofrequency ablation and bone cement filling in the treatment of periacetabular metastases
topic Acetabulum
Metastases
Tripod
Radiofrequency ablation
Bone cement
url https://doi.org/10.1186/s13018-023-04255-w
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