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Factors Affecting Outcome After Surgical Treatment of Acetabular and Femoral Metastatic Lesions

Kreder, Hans J. M.D., M.P.H., F.R.C.S.(C)

Techniques in Orthopaedics: March 2004 - Volume 19 - Issue 1 - p 38-44

Approximately 80% of persons with cancer will eventually develop skeletal metastases. With improved survival resulting from advances in overall cancer management, surgical stabilization of bone lesions is essential for maximizing quality of life. Evidence-based guidelines and accurate prognostication have been hampered by the lack of consensus regarding indications for surgery, implants, adjuvant treatment, and outcome measurement tools. This article provides an overview of the factors that affect complications, survival, function, pain relief and quality of life after surgical treatment of skeletal metastases involving the pelvis and femur.

From the Institute of Clinical Evaluative Sciences and the University of Toronto, Department of Surgery, Toronto, Ontario, Canada.

Address correspondence and reprint requests to Hans J. Kreder, FRCS(C), Associate Professor, University of Toronto, Orthopaedic Surgery & Health Policy Management & Administration, Sunnybrook and Women's Health Sciences Centre, Room MG-365, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5. E-mail:

© 2004 Lippincott Williams & Wilkins, Inc.