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KMID : 0613320090150010044
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Journal of the Korean Bone and Joint Tumor Soceity
2009 Volume.15 No. 1 p.44 ~ p.51
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Surgical Treatment of Metastatic Pathologic or Impending Pathologic Fractures
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Kim Kap-Jung
Lee Sang-Ki
Choy Won-Sik
Seo Dong-Wook
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Abstract
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Purpose: We evaluated the results of surgical treatment for metastatic pathologic or impending pathologic fractures.
Materials and Methods: From January 2004 to December 2007, 18 patients 19 cases were included. Male were 6 and female were 12. The mean age was 65.1. Mean follow up period was 15.2 months. Pathologic fractures were 14 and impending pathologic fractures were 5. MSTS score, periodic radiologic follow up and postoperative complications were evaluated.
Results: The primary malignancies were 6 cases of multiple myeloma, 4 cases of renal cell carcinoma, 2 cases of cholangiocarcinoma, 2 cases of colon cancer, 2 cases of breast cancer and 2 cases of leiomyosarcoma. Metastatic lesions were 10 cases of femur, 4 cases of clavicle, 2 cases of humerus, 2 cases of tibia and 1 case of radius. Surgical options were curettage, cementation, internal fixation and arthroplasty. Mean MSTS score was 15.9. Postoperative complications were 1 case of infection, 1 case of local recurrence and 1 case of implant loosening. Ten patients were alive with disease, 8 patients died of disease.
Conclusion: Surgical treatment of metastatic skeletal lesions allowed early ambulation and improving dexterity. It improved pain and emotional acceptance. Surgery is necessary for improving qualities of remaining lives.
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KEYWORD
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Pathologic fracture, Impending pathologic fracture, MSTS score
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