The Surgical Management of Proximal Femoral Metastases: A Narrative Review
The proximal femur is a common location for the development of bony metastatic disease. Metastatic bone disease in this location can cause debilitating pain, pathologic fractures, reduced quality of life, anemia or hypercalcemia. A thorough history, physical examination and preoperative investigatio...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/28/5/320 |
| _version_ | 1797514875524612096 |
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| author | Daniel Axelrod Aaron M. Gazendam Michelle Ghert |
| author_facet | Daniel Axelrod Aaron M. Gazendam Michelle Ghert |
| author_sort | Daniel Axelrod |
| collection | DOAJ |
| description | The proximal femur is a common location for the development of bony metastatic disease. Metastatic bone disease in this location can cause debilitating pain, pathologic fractures, reduced quality of life, anemia or hypercalcemia. A thorough history, physical examination and preoperative investigations are required to ensure accurate diagnosis and prognosis. The goals of surgical management is to provide pain relief and return to function with a construct that provides stability to allow for immediate weightbearing. Current surgical treatment options include intramedullary nailing, hemiarthroplasty or total hip arthroplasty and endoprosthetic reconstructions. Oligometastatic renal cell carcinoma must be given special consideration as tumor resection and reconstruction has survival benefit. Both tumor and patient characteristics must be taken into account before deciding on the appropriate surgical intervention. |
| first_indexed | 2024-03-10T06:37:44Z |
| format | Article |
| id | doaj.art-99ad4592ab404b1ab0b353385a08a798 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T06:37:44Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-99ad4592ab404b1ab0b353385a08a7982023-11-22T17:54:55ZengMDPI AGCurrent Oncology1198-00521718-77292021-09-012853748375710.3390/curroncol28050320The Surgical Management of Proximal Femoral Metastases: A Narrative ReviewDaniel Axelrod0Aaron M. Gazendam1Michelle Ghert2Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON L8N 4A6, CanadaDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON L8N 4A6, CanadaDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON L8N 4A6, CanadaThe proximal femur is a common location for the development of bony metastatic disease. Metastatic bone disease in this location can cause debilitating pain, pathologic fractures, reduced quality of life, anemia or hypercalcemia. A thorough history, physical examination and preoperative investigations are required to ensure accurate diagnosis and prognosis. The goals of surgical management is to provide pain relief and return to function with a construct that provides stability to allow for immediate weightbearing. Current surgical treatment options include intramedullary nailing, hemiarthroplasty or total hip arthroplasty and endoprosthetic reconstructions. Oligometastatic renal cell carcinoma must be given special consideration as tumor resection and reconstruction has survival benefit. Both tumor and patient characteristics must be taken into account before deciding on the appropriate surgical intervention.https://www.mdpi.com/1718-7729/28/5/320metastatic bone diseaseproximal femur metastasesendoprosthesis |
| spellingShingle | Daniel Axelrod Aaron M. Gazendam Michelle Ghert The Surgical Management of Proximal Femoral Metastases: A Narrative Review Current Oncology metastatic bone disease proximal femur metastases endoprosthesis |
| title | The Surgical Management of Proximal Femoral Metastases: A Narrative Review |
| title_full | The Surgical Management of Proximal Femoral Metastases: A Narrative Review |
| title_fullStr | The Surgical Management of Proximal Femoral Metastases: A Narrative Review |
| title_full_unstemmed | The Surgical Management of Proximal Femoral Metastases: A Narrative Review |
| title_short | The Surgical Management of Proximal Femoral Metastases: A Narrative Review |
| title_sort | surgical management of proximal femoral metastases a narrative review |
| topic | metastatic bone disease proximal femur metastases endoprosthesis |
| url | https://www.mdpi.com/1718-7729/28/5/320 |
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