Common Pitfalls in the Management of Bone Metastasis of the Extremities - a Current Concept and Systematic Review of the Literature.


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 18 08 2021
revised: 07 09 2021
accepted: 08 09 2021
entrez: 1 10 2021
pubmed: 2 10 2021
medline: 9 10 2021
Statut: ppublish

Résumé

The surgical treatment of patients with bone metastasis of the extremities poses a set of unique challenges. We aimed to highlight common hazards when treating pathological fractures as well as hazards surrounding assumptions on metastatic status and life expectancy. This systematic literature review includes studies published from January 1, 1985 to May 7, 2021. Published articles were surveyed using PubMed. Of 99 studies, 32 original articles were found to meet the inclusion criteria. The PRISMA guidelines were used to select articles. Current literature reports a variety of common pitfalls. In order to avoid pitfalls, it is essential to secure the diagnosis. Furthermore, life expectancy must be given consideration when planning surgical therapy. In addition, a well-functioning multidisciplinary team is needed to coordinate further options such as radiation or embolization. Despite the fact that the surgical principles for treating bone metastases of the extremities are often to the point, incorporating all the nuances of treatment is a meticulous procedure.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
The surgical treatment of patients with bone metastasis of the extremities poses a set of unique challenges. We aimed to highlight common hazards when treating pathological fractures as well as hazards surrounding assumptions on metastatic status and life expectancy.
MATERIALS AND METHODS METHODS
This systematic literature review includes studies published from January 1, 1985 to May 7, 2021. Published articles were surveyed using PubMed. Of 99 studies, 32 original articles were found to meet the inclusion criteria. The PRISMA guidelines were used to select articles.
RESULTS RESULTS
Current literature reports a variety of common pitfalls. In order to avoid pitfalls, it is essential to secure the diagnosis. Furthermore, life expectancy must be given consideration when planning surgical therapy. In addition, a well-functioning multidisciplinary team is needed to coordinate further options such as radiation or embolization.
CONCLUSION CONCLUSIONS
Despite the fact that the surgical principles for treating bone metastases of the extremities are often to the point, incorporating all the nuances of treatment is a meticulous procedure.

Identifiants

pubmed: 34593414
pii: 41/10/4665
doi: 10.21873/anticanres.15280
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4665-4672

Informations de copyright

Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Dietmar Dammerer (D)

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

Philipp Blum (P)

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria philippblum1@gmx.de.

Dietmar Krappinger (D)

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

Alexander Keiler (A)

Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.

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Classifications MeSH