Skip to main content

Advertisement

SpringerLink
Log in

Impianti protesici e resezioni nelle metastasi

  • Published:
LO SCALPELLO-OTODI Educational

Abstract

Management goals of metastatic bone desease are control of pain and maintenance of function. Prosthetic arthroplasty may rapresent a useful technique in selected patients. Reconstruction of the proximal femur or humerus, reconstruction of the distal femur and the proximal tibia, intercalary bone replacement are the most frequent applications of prosthetic device. Indications include reconstruction of wide lytic lesions when internal fixations device are not amenable, lytic lesions in which there are no radiotherapy options and salvage of failed internal fixation devices. Modular prostheses allow resection of large bone lesions and full weight bearing. Major complications include deep infections, post operative hemorhage and delayed wound healing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Letture consigliate

  • Aaron AD (1997) Treatment of metastatic adenocarcinoma of the pelvis and the extremities. J Bone Joint Surg Am 79:917–932

    PubMed  CAS  Google Scholar 

  • Capanna R, Campanacci DA (2001) The treatment of metastases in the appendicular skeleton. J Bone Joint Surg Br 83:471–481

    Article  PubMed  CAS  Google Scholar 

  • Harrington KD (1988) Orthopaedic management of metastatic bone disease. Mosby, St. Louis

    Google Scholar 

  • Harrington KD (1995) Orthopaedic management of extremity and pelvic lesions. Clin Orthop 312:136–147

    PubMed  Google Scholar 

  • Henry JC, Damron TA, Weiner MM et al (2002) Biomechanical analysis of humeral diaphyseal segmental defect fixation. Clin Orthop 396:231–239

    Article  PubMed  Google Scholar 

  • Russo P (2000) Renal cell carcinoma: presentation, staging, and surgical treatment. Semin Oncol 27:160–176

    PubMed  CAS  Google Scholar 

  • Sim FH, Daugherty TW, Ivins JC (1974) The adjunctive use of methylmetacrylate in fixation of pathological fractures. J Bone Joint Surg Am 56:40–48

    PubMed  CAS  Google Scholar 

  • van der Poel HG, Roukema JA, Horenblas S et al (1999) Metastasectomy in renal carcinoma: A multicenter retrospective analysis. Eur Urol 35:197–203

    Article  PubMed  Google Scholar 

  • Weber KL, Gebhardt MC (2003) What’s new in musculoskeletal oncology. J Bone Joint Surg Am 85:761–767

    PubMed  Google Scholar 

  • Zickel RE (1998) Current concepts review. Treatment of metastatic adenocarcinoma of the pelvis and the extremities. J Bone Joint Surg Am 80:763–764

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Divisione di Ortopedia Oncologica, Istituto G. Pini, Milano, Italy

    P. A. Daolio

Authors
  1. P. A. Daolio
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Daolio, P.A. Impianti protesici e resezioni nelle metastasi. LO SCAL 21, 123–130 (2008). https://doi.org/10.1007/s11639-008-0076-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11639-008-0076-5

Search

Navigation