Perioperative considerations in patients with metastatic bone disease
C Bibbo1, D V Patel, J Benevenia
1Department of Orthopaedics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA.
The Orthopedic Clinics of North America
|October 24, 2000
Summary
This article details the preoperative evaluation and management of metastatic bone disease, covering diagnostics, pain control, surgical planning for various bone lesions, and rehabilitation strategies.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Metastatic bone disease presents complex challenges in patient management.
- Comprehensive preoperative assessment is crucial for effective treatment planning.
Purpose of the Study:
- To outline the essential components of preoperative assessment for patients with metastatic bone disease.
- To discuss perioperative diagnostic modalities and surgical considerations.
- To emphasize pain management and rehabilitation.
Main Methods:
- Review of standard preoperative assessments including history, physical examination, and laboratory evaluation.
- Discussion of advanced imaging techniques such as bone scan, CT, MR imaging, and PET.
- Exploration of surgical planning for long bone, periarticular, pelvis, and acetabular lesions.
Main Results:
- Integrated approach combining clinical evaluation, advanced diagnostics, and tailored surgical planning is effective.
- Preoperative tumor embolization and vena cava filter placement may be considered.
- Pain control and rehabilitation are vital for patient outcomes.
Conclusions:
- A multidisciplinary approach is essential for optimizing care in metastatic bone disease.
- Thorough preoperative planning significantly impacts surgical success and patient recovery.
- Rehabilitation plays a critical role in restoring function and quality of life.
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