title: EARLY COMPLICATIONS IN THE ORTHOPEDIC TREATMENT OF BONE METASTASES.
abstract: OBJECTIVE
  To assess the early complications in the orthopedic treatment of metastatic bone lesions and the factors associated with these complications.
  
  
  METHODS
  There were assessed, retrospectively, 64 patients that underwent surgical treatment for bone metastases, analyzing the complications that occurred in the pre-operative and early post- operative period and associating them with the tumor origin, type of procedure done, the need of blood reposition before the surgery, the need of new surgical procedures and the mortality due to the complications.
  
  
  RESULTS
  Early complications in the treatment were observed in 17 (26.6%) patients, of which six (35.2%) ended up dying due to these complications. Regarding the type, 15 (23.8%) cases were due to surgical complications, four (6.3%) clinical and three (4.7%) patients showed clinical and surgical complications. There was no significant difference in the frequency of complications or mortality when assessed the type of reconstruction or affected region. The tumors with a renal origin needed more blood reposition and showed a bigger frequency of complications.
  
  
  CONCLUSIONS
  The complications occurred in 26.6%. The complications are not related to the kind of treatment performed or to the region affected. The renal origin tumors showed a higher risk of hemorrhage.
authors.affiliation: Master's degree in Medicine; Coordinator, Orthopedic Oncology Outpatient Clinic, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Luiz Eduardo Moreira
authors.initials: LE
authors.lastname: Teixeira
authors.affiliation: Coordinator, Department of Orthopedic Oncology, Santa Casa de Belo Horizonte.
authors.forename: Ricardo Horta
authors.initials: RH
authors.lastname: Miranda
authors.affiliation: Assistant Physician, Department of Orthopedics and Traumatology, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Daniel Ferreira
authors.initials: DF
authors.lastname: Ghedini
authors.affiliation: Assistant Physician, Department of Orthopedics and Traumatology, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Rafael Bazílio
authors.initials: RB
authors.lastname: Aguilar
authors.affiliation: Master's degree in Medicine; Assistant Physician, Department of Orthopedics and Traumatology, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Eduardo Nilo Vasconcelos
authors.initials: EN
authors.lastname: Novais
authors.affiliation: Assistant Physician, Department of Orthopedics and Traumatology, Hospital das Clínicas, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Guilherme Moreira
authors.initials: GM
authors.lastname: de Abreu E Silva
authors.affiliation: Associate Professor, Department of Surgery, School of Medicine, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Ivana Duval
authors.initials: ID
authors.lastname: Araújo
authors.affiliation: Associate Professor, Department of Locomotor Apparatus, School of Medicine, Universidade Federal de Minas Gerais (UFMG).
authors.forename: Marco Antônio Percope
authors.initials: MA
authors.lastname: de Andrade
keywords: Bone neoplasms; Fractures, spontaneous; Oncology; Postoperative complications; orthopedic surgery