Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due…

Cohort studyIndian journal of surgical oncology· Jun 2024

Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due to Metastatic Bone Disease.

J Macdonald, C Baird, L Jeys … J Stevenson

Orthopedic OncologyCohort studyTreatmentQ3IF 0.8

Ice-cream cone pedestal cup improved mobility in 85% after acetabular metastasis reconstruction

Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due to Metastatic Bone Disease.

J Macdonald … J Stevenson

Indian journal of surgical oncology · Jun 2024

Background

UNLABELLED: Management of periacetabular metastatic bone disease (metastatic bone disease) is challenging, specifically if associated with bone loss or fracture.

Purpose

The aim of this study was to evaluate the complications and outcomes after undergoing peri-acetabular reconstruction using an 'ice-cream cone' pedestal cup endoprostheses for the most severe cases of (impending) pathological acetabular fractures.

Methods

Surgical complications and patient survival were analysed; the Prognostic Immune Nutritional Index (Prognostic Immune Nutritional Index) was applied retrospectively to survival.

n = 12 patients

Results

most patients regained better mobility after this reconstruction

Improved mobility

85%

Improved pain

100%

More results

There were 32 females and 18 males with a median age of 65 (41-88).

Thirty-nine had complete, and 11, impending pathological fractures.

The observed five-year survival was 19%, with a median survival of 16 months (IQR 5.8-42.5 months).

Significantly worse survival was observed with Prognostic Immune Nutritional Index scores < 3.0 ( p = 0.003).

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Conclusion

SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13193-024-01917-x.

Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due to Metastatic Bone Disease.

Outcomes Following Pedestal Cup Reconstruction of (Impending) Pathological Fractures of the Acetabulum due to Metastatic Bone Disease.

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