Management of metastatic bone disease of the acetabulum
| Autor: | Paul S. Issack, Joseph M. Lane, Suhel Y Kotwal |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Bone disease Radiofrequency ablation medicine.medical_treatment Arthroplasty Replacement Hip Bone Neoplasms Breast Neoplasms medicine.disease_cause law.invention Weight-bearing law medicine Humans Orthopedics and Sports Medicine Orthopedic Procedures business.industry Biopsy Needle Acetabulum Plastic Surgery Procedures medicine.disease Arthroplasty Surgery Osteopenia Bone Diseases Metabolic Female Cementoplasty business Tomography X-Ray Computed Algorithms |
| Zdroj: | The Journal of the American Academy of Orthopaedic Surgeons. 21(11) |
| ISSN: | 1067-151X |
| Popis: | Metastatic acetabular disease can be severely painful and may result in loss of mobility. Initial management may consist of diphosphonates, narcotic analgesics, radiation therapy, protected weight bearing, cementoplasty, and radiofrequency ablation. Patients with disease affecting large weight-bearing regions of the acetabulum and with impending failure of the hip joint are unlikely to gain much relief from nonsurgical treatment and interventional procedures. The profound osteopenia of the acetabulum, limited healing potential of the fracture, and projected patient life span and function necessitate surgical techniques that provide immediate stable fixation to reduce pain and restore ambulatory function. Current reconstructive procedures, including cemented total hip arthroplasty, the saddle or periacetabular endoprosthesis, and porous tantalum implants, are based on the quality of remaining acetabular bone as well as the patient's level of function and general health. Well-executed acetabular reconstructions can provide durable hip joints with good pain relief and function. |
| Databáze: | OpenAIRE |
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