Proximal femoral replacement for metastatic bone disease.
Between 1994 and 2000, 13 patients (8 women and 5 men; 14 hips) underwent proximal femoral replacement secondary to metastatic disease. Average patient age was 62 years (range: 46-77 years). The most common diagnosis was renal cell carcinoma. Seven pathologic fractures were noted. Patients ambulated with full weight bearing postoperatively and wore an abduction brace for 3-4 months. Ten patients died of their diseases at 0.5-3.5 years postoperatively. No dislocations, infections, or reoperations occurred. Proximal femoral replacement provides excellent pain relief and good restoration of function when more simple reconstructive options are not feasible.
Manoso
Mark W
MW
Department of Orthopedic Surgery The Johns Hopkins Hospital, Baltimore, Md, USA.
Frassica
Deborah A
DA
Lietman
E Steven A
ES
Frassica
Frank J
FJ
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D002183:Canes; D005260:Female; D005266:Femoral Neoplasms / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D011474:Prosthesis Design; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D014853:Walkers