Abstract
Metastatic disease is the number one cause of morbidity to cancer patients. The bone is a frequent site of metastatic disease. Surgery has the potential to improve function and quality of life through stabilisation or reconstruction. Communication between the treating surgeon and subspecialist colleagues is essential to optimise outcomes for patient care. The aim of palliative orthopaedic treatment is to alleviate pain and restore mobility and dignity to patients suffering with terminal cancer.
The authors would like to acknowledge the assistance of Dr. Richard Beaver, Consultant, Orthopaedic Surgeon, Royal Perth Hospital, for the clinical cases and radiographs used in this chapter.
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References
Coleman R. Clinical features of metastatic bone disease and risk of skeletal morbidity. Clin Cancer Res. 2006;12(20 Suppl):6243–9.
Biermann J, Holt G, Valerae O, Schwartz H, Yaszemski M. Metastatic bone disease: diagnosis, evaluation, and treatment. Instr Course Lect J Bone Joint Surg. 2009;91-A:1518–30.
Coghlin C, Murray G. Current and emerging concepts in tumour metastasis. J Pathol. 2010;222:1–15.
Damron T, Sim F. Operative treatment for metastatic disease of the pelvis and proximal end of the femur. Instr Course Lect J Bone Joint Surg. 2000;82-A(1):114–26.
Mankin H, Mankin C, Simon M. The hazards of the biopsy, revisited. J Bone Joint Surg. 1996;78-A(5):656–63.
Simon M, Bartucci E. The search for the primary tumor in patients with skeletal metastasis of unknown origin. Cancer. 1986;58(5):1088–95.
Van der Hulst R, Van den Wildenburg F, Vroemen J, Greve J. Intramedullary nailing of (impending) pathological fractures. J Trauma. 1994;36(2):211–5.
Wedin R, Bauer H, Wersäll P. Failures after operation for skeletal metastatic lesions of long bones. Clin Orthop Relat Res. 1999;358:128–39.
Harrington K, Sim H, Enis J, Johnston J, Diok H, Gristina A. Methylmethacrylate as an adjunct in internal fixation of pathological fractures: experience with three hundred and seventy five cases. J Bone Joint Surg Am. 1976;58A:1047–55.
Athwal G, Chin P, Adams R, Morrey B. Coonrad-Morrey total elbow arthroplasty for tumours of the distal humerus and elbow. J Bone Joint Surg Br. 2005;87B(10):1369–74.
Mirels H. Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathological fractures. Clin Orthop Relat Res. 1989;249:256–64.
Wittig J, Bickels J, Kollender Y, Kellar-Graney K, Meller I, Malawer M. Palliative forequarter amputation for metastatic carcinoma to the shoulder girdle region: indications, preoperative evaluation, surgical technique, and results. J Surg Oncol. 2001;77(2):105–13.
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Young, S., Zellweger, R. (2014). Orthopaedics. In: Wichmann, M., Maddern, G. (eds) Palliative Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53709-7_25
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DOI: https://doi.org/10.1007/978-3-642-53709-7_25
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