Outcome of Skeletal Reconstructive Surgery for Metastatic Bone Tumours in the Femur
- Author:
Mohamed-Haflah NH
;
Kassim Y
;
Zuchri I
;
Zulmi W
- Publication Type:Journal Article
- Keywords:
complications;
functional outcome;
quality of life;
reconstructive surgery;
skeletal metastasis
- MeSH:
Femur
- From:Malaysian Orthopaedic Journal
2017;11(1):28-34
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The role of surgery in skeletal metastasis is to
reduce morbidity and improve the quality of life in
terminally ill patients. We report our experience with patients
who underwent skeletal reconstructive surgery for metastatic
bone tumour of the femur.
Materials and Methods: Twenty nine operations for
skeletal metastasis of the femur performed in our centre
between 2009 and 2015 were included in this study. We
evaluated the choice of implant, complications, survival rate
and functional outcome. Fourteen patients were still alive at
the time of this report for assessment of functional outcome
using Musculoskeletal Tumour Society (MSTS) form.
Results: Plating osteosynthesis with augmented-bone
cement was the most common surgical procedure (17
patients) performed followed by arthroplasty (10 patients)
and intramedullary nailing (2 patients) There were a total of
five complications which were implant failures (2 patients),
surgical site infection (2 patients), and site infection
mortality (1 patient). The median survival rate was eight
months. For the functional outcome, the mean MSTS score
was 66%.
Conclusion: Patients with skeletal metastasis may have
prolonged survival and should undergo skeletal
reconstruction to reduce morbidity and improve quality of
life. The surgical construct should be stable and outlast the
patient to avoid further surgery.
- Full text:P020170413505734310247.pdf
