scholarly journals Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

2021 ◽  
Vol 28 (4) ◽  
pp. 2731-2740
Author(s):  
Aaron Gazendam ◽  
Daniel Axelrod ◽  
David Wilson ◽  
Michelle Ghert
Keyword(s):  
Surgical Management ◽  
Bone Disease ◽  
Surgical Techniques ◽  
Metastatic Bone Disease ◽  
Complication Rates ◽  
Surgical Morbidity ◽  
Porous Tantalum ◽  
Pain Disability ◽  
Pathologic Fractures ◽  
Surgical Options

The pelvis is a common site of metastatic bone disease. Peri-acetabular lesions are particularly challenging and can cause severe pain, disability and pathologic fractures. Surgical management of these lesions has historically consisted of cementoplasty for contained lesions and Harrington reconstructions for larger, more destructive lesions. Due to the limitations of these procedures, a number of novel procedures have been developed to manage this challenging problem. Percutaneous techniques—including acetabular screw fixation and cementoplasty augmented with screws—have been developed to minimize surgical morbidity. Recent literature has demonstrated a reliable reduction in pain and improvement in function in appropriately selected patients. Several adjuncts to the Harrington procedure have been utilized in recent years to reduce complication rates. The use of constrained liners and dual mobility bearings have reduced the historically high dislocation rates. Cage constructs and porous tantalum implants are becoming increasingly common in the management of large bony defects and destructive lesions. With novel and evolving surgical techniques, surgeons are presented with a variety of surgical options to manage this challenging condition. Physicians must take into account the patients’ overall health status, oncologic prognosis and anatomic location and extent of disease when developing an appropriate surgical plan.

Orthopaedic surgery in the palliation of cancer

2021 ◽  
pp. 839-848
Author(s):  
Mohamed Yakoub ◽  
John Healey
Keyword(s):  
Bone Disease ◽  
Chronic Condition ◽  
Orthopaedic Surgery ◽  
Functional Limitation ◽  
Metastatic Bone Disease ◽  
Site Specific ◽  
Pain Disability ◽  
Targeted Drug ◽  
Surgical Treatments ◽  
Targeted Drug Therapies

Metastatic spread of cancer to bone is frequent and causes pain, disability, and functional limitation. Non-surgical treatments such as chemotherapy and hormone therapy are effective in early disease. Administration of bisphosphonates or osteoprotegerin inhibitors prevent new ‘bone events’, thereby avoiding pain, radiation, and surgery. Radiotherapy arrests disease and relieves pain in many cases. Surgery is needed when the bone is weak or fractured. It effectively relieves pain and preserves function by bypassing the deficient bone with site-specific reconstructive surgery. Surgery should be selected based on projections of patient survival. New tools to make these projections are now available (https://www.pathfx.org/). New targeted drug therapies appear to be changing metastatic bone disease into a more chronic condition. This will alter the management of local disease in many histological subtypes of metastatic cancers.

scholarly journals Management of Metastatic Bone Disease of the Extremities: A Systemic Review

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M A Mostafa ◽  
S I Azmy ◽  
M A Ahmad
Keyword(s):  
Survival Rate ◽  
Bone Metastasis ◽  
Surgical Management ◽  
Bone Disease ◽  
Pain Control ◽  
Metastatic Bone Disease ◽  
Systemic Review ◽  
Functional Improvement ◽  
Metastatic Tumors

Abstract Metastatic tumors are the commonest Tumors of the bone. Wide variety of surgical modalities are available for management of bone metastasis. This review describes functional improvement, pain control, and survival after surgical management of the bone metastasis. Surgical management is found to lead to better pain control and functional improvement, with comparable results of survival rate with other reviews like ours.

scholarly journals Surgical management for primary osteoarthritis of the elbow

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902098817
Author(s):  
Jae-Man Kwak ◽  
In-Ho Jeon
Keyword(s):  
Elderly Patients ◽  
Surgical Management ◽  
Surgical Techniques ◽  
Distraction Arthroplasty ◽  
Prosthetic Implants ◽  
Primary Osteoarthritis ◽  
Elbow Osteoarthritis ◽  
Surgical Options ◽  
End Stage ◽  
Active Patients

The objective of this review is to summarize the surgical options for primary osteoarthritis of the elbow, reported clinical outcomes, and suggested indications in previous literatures. The surgical management of primary elbow arthritis has evolved because of an improved understanding of pathologic mechanisms and manifestations as well as the development of novel surgical techniques and devices. Osteocapsular arthroplasty (OCA), elbow debridement, distraction arthroplasty, and total elbow arthroplasty (TEA) have been employed for managing elbow osteoarthritis. Elbow debridement and OCA can be helpful in most cases of symptomatic elbow arthritis. TEA is usually recommended for end-stage arthritis in elderly patients after prosthetic implants have been in place for long periods or after complications. Distraction arthroplasty might find a place in the treatment of younger, active patients with end-stage arthritis.

Surgical Management of Metastatic Bone Disease

2009 ◽  
Vol 91 (6) ◽  
pp. 1503-1516 ◽  
Author(s):  
Jacob Bickels ◽  
Shlomo Dadia ◽  
Zvi Lidar
Keyword(s):  
Surgical Management ◽  
Bone Disease ◽  
Metastatic Bone Disease

Hip dysplasia: understanding the options (surgical management)

2019 ◽  
Vol 24 (5) ◽  
pp. 249-256
Author(s):  
Philip Georg Witte
Keyword(s):  
Surgical Management ◽  
Hip Dysplasia ◽  
Surgical Techniques ◽  
Individual Case ◽  
Developmental Dysplasia ◽  
Human Infants ◽  
Surgical Interventions ◽  
Surgical Options ◽  
The Individual ◽  
Canine Hip Dysplasia

The majority of vets in practice will be familiar with options for conservative management of canine hip dysplasia. However, there may be less familiarity with the various surgical options. Knowledge of the reported surgical techniques; selection criteria for these options; and their outcomes and potential complications provide the basis for an evidence-based approach to management of the individual case. In this article a brief comparison with developmental dysplasia of the hips in human infants is given by way of an introduction to surgical options, since there is some overlap with options for hip dysplasia in dogs. A description of the surgical interventions that have been reported for canine hip dysplasia is presented, and, where possible, the evidence regarding outcomes is summarised. It is hoped this article will help the general practitioner giving advice regarding surgical management of canine hip dysplasia.

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