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Proximal femoral replacement for pathological fracture
J F Keating1, T Burke, P Macauley
1Victoria Infirmary, Glasgow, UK.
Injury
|July 1, 1990
Summary
Proximal femoral replacement offers palliative relief for extensive femur metastases, restoring mobility in some patients. However, complications like dislocation and limited survival highlight the need for careful patient selection.
Area of Science:
- Orthopedic Surgery
- Oncology
- Palliative Care
Background:
- Extensive metastatic destruction of the proximal femur presents significant challenges.
- Standard fixation methods are often inadequate due to extensive bone loss.
Purpose of the Study:
- To evaluate proximal femoral replacement as a palliative treatment for extensive metastatic femur destruction.
- To assess the procedure's efficacy in restoring mobility and relieving pain.
Main Methods:
- Proximal femoral replacement was performed on nine patients with extensive metastatic femur destruction.
- Patient outcomes regarding mobility, complications, and survival were recorded.
Main Results:
- Six out of nine patients achieved satisfactory postoperative mobility.
- Three patients did not regain independent mobility and experienced mortality within 4 weeks.
- Dislocation was the primary complication, occurring in two patients.
- The mean postoperative survival was 8 months.
Conclusions:
- Proximal femoral replacement can be a valuable palliative option for selected patients with metastatic femur disease.
- Careful patient selection is crucial due to potential complications and variable outcomes.