title: Uncemented arthroplasty for metastatic disease of the hip: preliminary clinical experience.
abstract: Improved longevity among patients with metastatic bone disease led to increasing incidence of pathologic and impending fractures around the hip. Cemented hip arthroplasty is considered to be the standard of care for this condition. The purpose of this study is to evaluate the outcome of uncemented hip arthroplasty in those patients. We performed a retrospective review of clinical and radiologic data of 57 consecutive patients (60 hips) who underwent an uncemented hip arthroplasty due to metastatic hip disease. Mean follow-up was 18.6 months (range, 5-60 months); overall 1-year survival and mortality rates were 58.5% and 38.3%, respectively. Multiple myeloma and metastatic prostate carcinoma patients had better outcome over other metastasis origin. At last follow-up, no prosthesis failure or operation-related major complication has been recorded.
authors.affiliation: Orthopedic Division, Haim Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: Ran
authors.initials: R
authors.lastname: Thein
authors.forename: Amir
authors.initials: A
authors.lastname: Herman
authors.forename: Ahron
authors.initials: A
authors.lastname: Chechik
authors.forename: Boaz
authors.initials: B
authors.lastname: Liberman
mesh_terms: D000704:Analysis of Variance; D019644:Arthroplasty, Replacement, Hip; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome