title: Percutaneous femoroplasty for the treatment of proximal femoral metastases.
abstract: OBJECTIVE
  To investigate the clinical value of percutaneous perfusion of bone cement as a treatment for proximal femoral metastases.
  
  
  METHODS
  Twenty-one patients with 23 lesion sites of proximal femoral metastases were treated using percutaneous femoroplasty (PFP) and followed up for 6-12 months. Patient responses to the Verbal Rating Scale pain classification scheme were used to assess the degree of pain relief after 2 days and again after 6 months. The Barthel Index of Activities of Daily Living (BIADL) was used to assess the patients' quality of life after 6 months.
  
  
  RESULTS
  PFP effectively reduced the levels of pain in all 21 patients. Two patients experienced cement leakage into the hip during the operation, whereupon the cement injection was stopped immediately. One patient experienced irritating pain during the operation caused by the bone cement injection, and the pain was alleviated immediately upon stopping the injection. None of the patients experienced pulmonary embolism or complications of proximal femur pathological fractures during the study period. The pain relief efficiencies of PFP at 2 days and 6 months postoperation were 90% and 84%, respectively. The patient scores on the Barthel Index of Activities of Daily Living 6 months postoperation were significantly improved compared to preoperative scores (P < 0.05).
  
  
  CONCLUSIONS
  PFP is an effective and minimally invasive treatment for proximal femoral metastases that can significantly improve the patient's quality of life. However, the proposed indications should be strictly followed.
authors.affiliation: Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, 12 Health Road, Shijiazhuang, Hebei 050011, PR China.
authors.forename: H
authors.initials: H
authors.lastname: Feng
authors.affiliation: Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, 12 Health Road, Shijiazhuang, Hebei 050011, PR China.
authors.forename: J
authors.initials: J
authors.lastname: Feng
authors.affiliation: Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, 12 Health Road, Shijiazhuang, Hebei 050011, PR China.
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Orthopedics, The Fourth Affiliated Hospital of Hebei Medical University, 12 Health Road, Shijiazhuang, Hebei 050011, PR China.
authors.forename: Q
authors.initials: Q
authors.lastname: Feng
authors.affiliation: Department of Orthopedic Surgery, The Third Affiliated Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, PR China.
authors.forename: Q
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Orthopedic Surgery, The Third Affiliated Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, PR China.
authors.forename: D
authors.initials: D
authors.lastname: Qin
authors.affiliation: Department of Orthopedic Surgery, The Third Affiliated Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, PR China.
authors.forename: W
authors.initials: W
authors.lastname: Chen
authors.affiliation: Department of Orthopedic Surgery, The Third Affiliated Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, PR China.
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Orthopedic Surgery, The Third Affiliated Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, PR China. Electronic address: yzling_liu0311@126.com.
authors.forename: Y
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D005260:Female; D005266:Femoral Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010147:Pain Measurement; D011788:Quality of Life; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements
keywords: Femur; Metastasis; Pain relief; Percutaneous femoroplasty; Quality of life