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Femoroplasty as a Palliative Treatment Option for Pain Due to Metastasis and Fractures in Cancer Patients: A Case
Victor M Silva-Ortiz1, Ignacio Reyes2, Anna Gisse Lopez3
1Pain Management Department, Hospital Zambrano Hellion, Tec Salud. San Pedro Garza García, Nuevo León.
Background:
Bone metastases are a frequent condition in cancer patients. They tend to manifest mainly in the long bones and spine, causing pain and reducing the patient's quality of life. Percutaneous femoroplasty has been proposed to improve pain and bone stability in these patients by injecting polymethylmethacrylate (PMMA) into the affected areas. This report aims to demonstrate this technique's benefits in stabilizing the bone and the hip joint by consolidating fractures due to bone metastases, alleviating cancer pain, and improving quality of life.
Case Report:
A 74-year-old female patient diagnosed with breast cancer and metastasis to the spine and femoral head, with severe oncological pain in the right hip region, is presented. In Tronzo's classification, computed tomography showed a type I fracture in the right hip. Fluoroscopy-guided femoroplasty with bone cementation was performed, presenting significant pain relief in the short, medium, and long term and improved quality of life.
Conclusion:
Femoroplasty as a palliative technique to improve bone cancer pain is an important tool to consider when conservative management does not provide favorable results in pain and functionality, being a safe procedure for patients who cannot undergo major surgery.
