Analysis of Orthopedic Surgery for Long Bone Metastases and Pathologic Fractures
A. I. Radchenko, A. G. Zhukovets, Y. M. Bogdayev
Journal of Cancer and Tumor International · pp. 1–6 · Published 14 Oct 2017
10.9734/JCTI/2017/36830Abstract
The study made a retrospective analysis of treatment outcomes in 105 patients subjected to 128 surgical interventions for metastatic involvement of long tubular bones. Endoprosthetic replacement of large joints (40.2%) and intramedullary osteosynthesis (29.7%) were the main types of surgical interventions. The postoperative morbidity rate was 24.2%.The treatment administered made it possible to preserve extremity functioning in 85.7% of the patients and to significantly improve their quality of life, with one-year survival rate being 62.0%, 3-year – 28.5%, 5-year – 11.4%. Lung cancer, the presence of visceral metastases and the time of distant metastasis development were proved to be the unfavourable prognostic factors.
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