[Evaluation of life quality in patients after surgical treatment due to neoplasmatic matastases in bones].
The aim of this study was to evaluate life quality in patients with disseminated neoplasmatic process after surgical treatment of pathological fracture due to metastasis to long bones. The examination group consisted of 33 patients (25 women, 8 men) treated surgically (av. age 67 years). Pathological fracture was revealed in femoral bone in 28 patients (bilateral in one patient) and in humeral bone in 5 patients. In case of femoral bone fracture unipolar arthroplastic of hip joint was used or stable osteosynthesis with the use of intramedullar nail or AO plate; while in case of humeral bone fracture elastic osteosynthesis with Rush nail was used. Survival period in patients after surgical treatment of pathological fracture was 6 months. Life quality in patients after surgical treatment was estimated on the basis of clinical scale. All the patients considered surgical treatment to be the purposeful improvement of the standard of the last months of life. The result of treatment presented in the scale of clinical assessment, turned out satisfactory in the examined grouped; the result was considered satisfactory in movement range of the operated limb, muscular strength and capacity of walking. The result of the evaluation of self-service capacity was estimated as more than satisfactory. In conclusion, the main advantage of surgical therapy in patients with neoplasmatic metastases into long bones is the decrease of pain and the improvement of self-service, even in the cases of serious degree of neoplasmatic process. Surgical treatment in those patients should ensure a fast comeback to possibly maximal functionality of the limb.
Lorkowski
Jacek
J
Klinika Medycyny Ratunkowej i Obrazeń, Wielonarzeadowych II Katedry Chirurgii, Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie. mslorkow@cyfronet.pl
Brongel
Leszek
L
Trybus
Marek
M
Hładki
Waldemar
W
D000203:Activities of Daily Living; D000368:Aged; D001859:Bone Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D011788:Quality of Life; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome