AI Article Synopsis
- Primary malignant bone tumors and metastases can arise in the proximal femur, requiring surgical treatment for either palliative or curative purposes.
- Curative treatment involves two main stages: removing the tumor through wide excision with sufficient margins and reconstructing the affected bone and soft tissue to restore function.
- Reconstruction methods vary, including composite or massive prostheses and options for joint reconstruction like hemiarthroplasty, intermediate prosthetics, or total hip replacement.
Article Abstract
A primary malignant bone tumor, or more commonly, metastasis, can occur in the proximal femur. Surgical treatment can have palliative or curative purposes. In the case of the latter, it involves two stages: resection of the tumor, which aims to address the cancer, and reconstruction of the bone and soft tissue, which aims to restore function. It is important for the excision to be wide with adequate resection margins in the soft tissue, particularly when the goal is curative treatment. Typically, surgery involves excision and reconstruction to ensure good mechanical stability. Reconstruction can be done using different methods, such as a composite prosthesis or a massive prosthesis, which may be modular or custom-made. Joint reconstruction options include hemiarthroplasty, intermediate prosthesis, or, in some cases, total hip replacement.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11273334 | PMC |
| http://dx.doi.org/10.7759/cureus.63184 | DOI Listing |
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