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Surgical Treatment for Pathologic Fracture of Skeletal Metastatic Lesion of the Proximal Femur: Comparison of Clinical Outcomes for Prosthetic Joint Replacement and Osteosynthetic Fixation / 대한골관절종양학회지
The Journal of the Korean Bone and Joint Tumor Society ; : 44-50, 2011.
Article Dans Coréen | WPRIM | ID: wpr-172337
ABSTRACT

PURPOSE:

To compare clinical outcomes of the tumor prosthetic replacement and osteosynthetic fixation for pathologic fracture of skeletal metastatic lesion of the proximal femur. MATERIALS AND

METHODS:

From 1994 May to 2009 May, medical records of 22 patients who underwent tumor prosthetic replacement with tumor resection (group 1) and 15 others (16 hips) who underwent osteosynthetic fixation without tumor resection (group 2) were reviewed. The mean age of overall patients were 59 (group 1) and 60 (group 2). Mean follow up periods were 23 and 11 months. The oncological and functional results were evaluated with Kaplan-Meier methods and Musculoskeletal Tumor Society (MSTS) scoring system, 1993. The statistical evaluation was assessed with Log rank test and t-test.

RESULTS:

The mean survival periods were 24 months in group 1 and 11months in group 2. The 1 year survival rates were 86% in group 1 and 50 % in group 2, and 2 year survival rates were 29.7% in group 1 and 9.4% in group 2. The mean MSTS functional score were 26.4 (19-30), 87.9% in group 1 and 15.3 (10-23), 51.0% in group 2.

CONCLUSION:

The results of tumor resection and prosthetic replacement in selected cases was better than osteosynthetic fixation without tumor resection for metastatic bone tumors around proximal femur in oncological and functional aspects.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Dossiers médicaux / Taux de survie / Études de suivi / Fémur / Fractures spontanées / Articulations Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Humains langue: Coréen Texte intégral: The Journal of the Korean Bone and Joint Tumor Society Année: 2011 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Dossiers médicaux / Taux de survie / Études de suivi / Fémur / Fractures spontanées / Articulations Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Humains langue: Coréen Texte intégral: The Journal of the Korean Bone and Joint Tumor Society Année: 2011 Type: Article