Factors associated with local recurrence after surgery for bone metastasis to the extremities

Abstract

LR after surgery for bone metastasis to extremities is affected by surgical margin and primary cancer type. These factors, along with expected patient survival, need to be considered when planning surgery for bone metastasis to extremities.

Current concepts in the surgical treatment of skeletal metastases

“…In patients with a particularly good survival prognosis such as those with solitary metastases from breast cancer or renal cell carcinoma, en bloc resection and reconstruction with a tumour prosthesis is justified as these tumours have a lower risk of relapse. En bloc resection in these cases is also associated with improved survival[ 19 , 25 ].…”

New concepts in the surgical treatment of actual and impending pathological fractures in metastatic disease

“…For these reasons, we firmly believe that it is fundamental that the survival curve of the implants should always be above the survival curve of the patients, especially in metastatic disease 32 . It is widely reported that resection and prosthetic reconstruction is associated with a lower risk of complications and more extended durability compared to other systems of fixation [32][33][34][35][36][37][38] . Steensma et al 32 reported complications after surgical treatment of 298 patients with proximal femur metastasis.…”

Emerging innovations and advancements in the field of musculoskeletal oncology

“…Such resections and reconstructions comprise some of the most surgically complex procedures we perform as orthopaedic oncologists. Understanding that resections without a reconstruction can result in impaired function, 33,34 there has been a demand to develop more efficient and precise reconstructive options. Throughout the field of orthopaedic surgery, the production of 3D custom implants has become increasingly popular.…”