title: Surgical treatment of bone metastases of the peripheral skeleton--a review of 33 cases.
abstract: Out of a total of 31 patients (26 females and five males) there were 24 complete and nine impending pathological fractures. These, treated from October 1985 to September 1987 at the Bordet Institute, were evaluated. Breast cancer was the most frequent underlying disease (66%) followed by lung cancer (12%). Eighteen lesions were treated by endoprosthetic replacement and 15 by an intramedullary fixation device. Bone cement was added to either of these. Satisfactory pain relief was obtained in 82% of the treated areas and restoration of function in 76%. Complications were rare but included one easily resolved superficial wound infection, four deep venous thromboses, movement limited to 21% (seven joints), and the changing of two fixation or reconstruction devices. Median survival time was 6 months; 35% of the patients were still alive after 12 months and 10% after 24 months.
authors.affiliation: Department of Surgery, Jules Bordet Institute, Brussels, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Gebhart
authors.forename: A
authors.initials: A
authors.lastname: Roman
authors.forename: G
authors.initials: G
authors.lastname: Ghanem
authors.forename: F
authors.initials: F
authors.lastname: Lejeune
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000150:complications / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D003131:Combined Modality Therapy; D005121:Extremities / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery; D006801:Humans; D006811:Humerus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D013977:Tibia / Q000601:surgery