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Published in: European Journal of Orthopaedic Surgery & Traumatology 8/2009

01-11-2009 | Original Article

Intercalary endoprosthetic reconstruction for impending pathological fractures in patients with femoral diaphyseal bone metastases

Authors: Kenichiro Hamada, Norifumi Naka, Hironari Tamiya, Ritsuro Ozaki, Hidetatsu Outani, Tetsuho Fujimoto, Nobuyuki Hashimoto, Hideki Yoshikawa, Nobuhito Araki

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2009

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Abstract

Improvement of the life expectancy in patients with metastatic bone tumors has increased the emphasis on preserving the function of affected limb. Between 2006 and 2008, we used custom-made endoprostheses in four patients to reconstruct femoral diaphyseal defects after excision of metastatic bone tumors. The mean age at operation was 65 years (55–78) and the median follow-up 10 months (4–17). Using the Musculoskeletal tumor society (MSTS) functional scoring system, the mean MSTS functional score was 67%. Local recurrence and mechanical loosening were not occurred. We conclude that diaphyseal endoprostheses in femoral bone offer a good clinical and functional outcome.
Literature
1.
go back to reference Sim FH (1998) Pathogenesis and prognosis. In: Sim FH (ed) Diagnosis and management of metastatic bone disease: a multidisciplinary approach. Raven Press, New York, pp 1–6 Sim FH (1998) Pathogenesis and prognosis. In: Sim FH (ed) Diagnosis and management of metastatic bone disease: a multidisciplinary approach. Raven Press, New York, pp 1–6
2.
go back to reference Park DH, Jaiswal PK, Al-Hakim W, Aston WJ, Pollock RC, Skinner JA, Cannon SR, Briggs TW (2007) The use of massive endoprostheses for the treatment of bone metastases. Sarcoma 2007:62151. doi:10.1155/2007/62151 CrossRefPubMed Park DH, Jaiswal PK, Al-Hakim W, Aston WJ, Pollock RC, Skinner JA, Cannon SR, Briggs TW (2007) The use of massive endoprostheses for the treatment of bone metastases. Sarcoma 2007:62151. doi:10.​1155/​2007/​62151 CrossRefPubMed
3.
go back to reference Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 286:241–246PubMed Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 286:241–246PubMed
4.
go back to reference Mirels H (1989) Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res 249:256–264PubMed Mirels H (1989) Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res 249:256–264PubMed
5.
go back to reference Katagiri H, Takahashi M, Wakai K, Sugiura H, Kataoka T, Nakanishi K (2005) Prognostic factors and a scoring system for patients with skeletal metastasis. J Bone Joint Surg Br 87(5):698–703CrossRefPubMed Katagiri H, Takahashi M, Wakai K, Sugiura H, Kataoka T, Nakanishi K (2005) Prognostic factors and a scoring system for patients with skeletal metastasis. J Bone Joint Surg Br 87(5):698–703CrossRefPubMed
6.
go back to reference Giannoudis PV, Bastawrous SS, Bunola JA, Macdonald DA, Smith RM (1999) Unreamed intramedullary nailing for pathological femoral fractures. Good results in 30 cases. Acta Orthop Scand 70(1):29–32PubMedCrossRef Giannoudis PV, Bastawrous SS, Bunola JA, Macdonald DA, Smith RM (1999) Unreamed intramedullary nailing for pathological femoral fractures. Good results in 30 cases. Acta Orthop Scand 70(1):29–32PubMedCrossRef
7.
go back to reference Broos P, Reynders P, van den Bogert W, Vanderschot P (1993) Surgical treatment of metastatic fracture of the femur improvement of quality of life. Acta Orthop Belg 59(Suppl 1):52–56PubMed Broos P, Reynders P, van den Bogert W, Vanderschot P (1993) Surgical treatment of metastatic fracture of the femur improvement of quality of life. Acta Orthop Belg 59(Suppl 1):52–56PubMed
8.
go back to reference Ward WG, Holsenbeck S, Dorey FJ, Spang J, Howe D (2003) Metastatic disease of the femur: surgical treatment. Clin Orthop Relat Res 415:230–244 Ward WG, Holsenbeck S, Dorey FJ, Spang J, Howe D (2003) Metastatic disease of the femur: surgical treatment. Clin Orthop Relat Res 415:230–244
9.
go back to reference Hunt KJ, Gollogly S, Randall RL (2006) Surgical fixation of pathologic fractures: an evaluation of evolving treatment methods. Bull Hosp Jt Dis 63:77–82PubMed Hunt KJ, Gollogly S, Randall RL (2006) Surgical fixation of pathologic fractures: an evaluation of evolving treatment methods. Bull Hosp Jt Dis 63:77–82PubMed
10.
go back to reference Swanson KC, Pritchard DJ, Sim FH (2000) Surgical treatment of metastatic disease of the femur. J Am Acad Orthop Surg 8(1):56–65PubMed Swanson KC, Pritchard DJ, Sim FH (2000) Surgical treatment of metastatic disease of the femur. J Am Acad Orthop Surg 8(1):56–65PubMed
11.
go back to reference Sharma H, Bhagat S, McCaul J, Macdonald D, Rana B, Naik M (2007) Intramedullary nailing for pathological femoral fractures. J Orthop Surg 15(3):291–294 Sharma H, Bhagat S, McCaul J, Macdonald D, Rana B, Naik M (2007) Intramedullary nailing for pathological femoral fractures. J Orthop Surg 15(3):291–294
12.
go back to reference Wedin R (2001) Surgical treatment for pathologic fracture. Acta Orthop Scand Suppl 72:1–29 Wedin R (2001) Surgical treatment for pathologic fracture. Acta Orthop Scand Suppl 72:1–29
13.
go back to reference Aldlyami E, Abudu A, Grimer RJ, Carter SR, Tillman RM (2005) Endoprosthetic replacement of diaphyseal bone defects. Long-term results. Int Orthop 29(1):25–29CrossRefPubMed Aldlyami E, Abudu A, Grimer RJ, Carter SR, Tillman RM (2005) Endoprosthetic replacement of diaphyseal bone defects. Long-term results. Int Orthop 29(1):25–29CrossRefPubMed
14.
go back to reference British Orthopaedic Association and the British Orthopaedic Oncology Society (2001) Metastatic bone disease: a guide to good practice British Orthopaedic Association and the British Orthopaedic Oncology Society (2001) Metastatic bone disease: a guide to good practice
15.
go back to reference Harrington KD, Sim FH, Enis JE, Johnston JO, Diok HM, Gristina AG (1976) Methylmethacrylate as an adjunct in internal fixation of pathological fractures: experience with three hundred and seventy-five cases. J Bone Joint Surg 58-A:1047–1055 Harrington KD, Sim FH, Enis JE, Johnston JO, Diok HM, Gristina AG (1976) Methylmethacrylate as an adjunct in internal fixation of pathological fractures: experience with three hundred and seventy-five cases. J Bone Joint Surg 58-A:1047–1055
Metadata
Title
Intercalary endoprosthetic reconstruction for impending pathological fractures in patients with femoral diaphyseal bone metastases
Authors
Kenichiro Hamada
Norifumi Naka
Hironari Tamiya
Ritsuro Ozaki
Hidetatsu Outani
Tetsuho Fujimoto
Nobuyuki Hashimoto
Hideki Yoshikawa
Nobuhito Araki
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 8/2009
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-009-0466-2

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