Internal fixation versus endoprosthetic replacement of the proximal femur for metastatic bone disease: Single institutional outcomes

This study compared internal fixation (IF) to proximal femur replacement (PFR) for proximal femoral metastasis. Between 2005 and 2019, 113 lesions underwent IF (n = 94) or PFR (n = 19). Revision risk was calculated with mortality as a competing event. The 5-year revision risk after IF was 17.6% (95%...

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Bibliographic Details
Published in:Journal of orthopaedics 2021-11, Vol.28, p.86-90
Main Authors: Gusho, Charles A., Clayton, Bishir, Mehta, Nabil, Hmeidan, Wassim, Colman, Matthew W., Gitelis, Steven, Blank, Alan T.
Format: Article
Language:English
Subjects:
Internal fixation
Metastasis
Proximal femur
Revision
Tumor endoprosthesis
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Summary:This study compared internal fixation (IF) to proximal femur replacement (PFR) for proximal femoral metastasis. Between 2005 and 2019, 113 lesions underwent IF (n = 94) or PFR (n = 19). Revision risk was calculated with mortality as a competing event. The 5-year revision risk after IF was 17.6% (95% CI, 9.8%–27.3%) compared to 7.6% (95% CI, 0.3%–28.9%) after PFR (p = 0.59). PFR had longer operative times (p 
ISSN:0972-978X
0972-978X
DOI:10.1016/j.jor.2021.11.003