Article: Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due to Metastatic Bone Disease.
Indian journal of surgical oncology
2024 Volume 15, Issue 2, Page(s) 428–436
Abstract: Management of periacetabular metastatic bone disease (MBD) is challenging, specifically if associated with bone loss or fracture. The aim of this study was to evaluate the complications and outcomes after undergoing peri-acetabular reconstruction using ... ...
Abstract | Management of periacetabular metastatic bone disease (MBD) is challenging, specifically if associated with bone loss or fracture. The aim of this study was to evaluate the complications and outcomes after undergoing peri-acetabular reconstruction using an 'ice-cream cone' pedestal cup endoprostheses for the most severe cases of (impending) pathological acetabular fractures. Fifty cases with severe periacetabular disease were identified. Acetabular defects were classified using the Metastatic Acetabular Classification (MAC). Pre- and post-operative mobility was assessed using the Eastern Cooperative Oncology Group (ECOG) Performance Status. Pain levels were assessed using a verbal rating scale. Surgical complications and patient survival were analysed; the Prognostic Immune Nutritional Index (PINI) was applied retrospectively to survival. There were 32 females and 18 males with a median age of 65 (41-88). Median post-operative follow-up was 16 months (IQR 5.5-28.5 months). Thirty-nine had complete, and 11, impending pathological fractures. The observed five-year survival was 19%, with a median survival of 16 months (IQR 5.8-42.5 months). Significantly worse survival was observed with PINI scores < 3.0 ( Supplementary information: The online version contains supplementary material available at 10.1007/s13193-024-01917-x. |
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Language | English |
Publishing date | 2024-03-16 |
Publishing country | India |
Document type | Journal Article |
ZDB-ID | 2568289-1 |
ISSN | 0976-6952 ; 0975-7651 |
ISSN (online) | 0976-6952 |
ISSN | 0975-7651 |
DOI | 10.1007/s13193-024-01917-x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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