title: Proximal femoral replacement for metastatic bone disease.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery The Johns Hopkins Hospital, Baltimore, Md, USA.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Manoso
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Frassica
authors.forename: E Steven A
authors.initials: ES
authors.lastname: Lietman
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Frassica
mesh_terms: 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