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Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Introduction

For patients with acetabular osteolytic metastases involving the articular surfaces, current treatments cannot efficiently rebuild the acetabular bone frame structure and strengthen bone defect area mechanics for weight-bearing. The purpose of this study is to show the operational procedure and clinical outcomes of multisite percutaneous bone augmentation (PBA) for the treatment of incidental acetabular osteolytic metastases involving the articular surfaces.

Methods

According to the inclusion and exclusion criteria, 8 patients (4 males and 4 females) were included in this study. Multisite (3 or 4 sites) PBA was successfully performed in all patients. The pain and function evaluation and imaging observation were examined by VAS and Harris hip joint function scores at the different time points (pre-procedure, 7 days, one month, last follow-up in 5-20 months).

Results

There were significant differences (p<0.05) in VAS and Harris scores before and after the surgical procedure. Moreover, these two scores had no obvious changes during the follow-up process (7 days after the procedure, one month after the procedure, and the last follow-up) after the procedure.

Conclusion

The proposed multisite PBA is an effective and safe procedure for the treatment of acetabular osteolytic metastases involving the articular surfaces.

The clinical trial registration number was ChiCTR2000032667

© 2024 The Author(s). Published by Bentham Open.
© 2024 The Author(s). Published by Bentham Open. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2024-01-01
2024-11-26

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References

  1. MundyG.R. Metastasis to bone: Causes, consequences and therapeutic opportunities.Nat. Rev. Cancer20022858459310.1038/nrc86712154351
     [Google Scholar]
  2. AubryS. DubutJ. NuefferJ.P. ChaigneauL. VidalC. KastlerB. Prospective 1-year follow-up pilot study of CT-guided microwave ablation in the treatment of bone and soft-tissue malignant tumours.Eur. Radiol.20172741477148510.1007/s00330‑016‑4528‑727553929
     [Google Scholar]
  3. CottenA. DuquesnoyB. Percutaneous cementoplasty for malignant osteolysis of the acetabulum.Presse Med.19952428130813107501624
     [Google Scholar]
  4. SunG. JinP. LiuX. LiM. LiL. Cementoplasty for managing painful bone metastases outside the spine.Eur. Radiol.201424373173710.1007/s00330‑013‑3071‑z24272227
     [Google Scholar]
  5. CharlesT. AmeyeL. GebhartM. Surgical treatment for periacetabular metastatic lesions.Eur. J. Surg. Oncol.20174391727173210.1016/j.ejso.2017.03.01828483275
     [Google Scholar]
  6. FuchsB. HoekzemaN. LarsonD.R. InwardsC.Y. SimF.H. Osteosarcoma of the pelvis: Outcome analysis of surgical treatment.Clin. Orthop. Relat. Res.2009467251051810.1007/s11999‑008‑0495‑x18855090
     [Google Scholar]
  7. KrishnanC.K. HanI. KimH.S. Outcome after surgery for metastases to the pelvic bone: A single institutional experience.Clin. Orthop. Surg.20179111612510.4055/cios.2017.9.1.11628261437
     [Google Scholar]
  8. PugetJ. UthezaG. Reconstruction of the iliac bone using the homolateral femur after resection for pelvic tumor.Orthop. Traumatol. Surg. Res.20141001434710.1016/j.otsr.2013.12.00724440547
     [Google Scholar]
  9. BarghashR.F. AbdouW.M. Pathophysiology of metastatic bone disease and the role of the second generation of bisphosphonates: From basic science to medicine.Curr. Pharm. Des.201622111546155710.2174/138161282266616012209381026795564
     [Google Scholar]
  10. MehrotraB. Antiresorptive therapies for the treatment of malignant osteolytic bone disease.Oral Maxillofac. Surg. Clin. North Am.201527456156610.1016/j.coms.2015.07.00226515737
     [Google Scholar]
  11. OkudaH. SugiuraH. YamadaK. HayashiN. SogaN. OguraY. Effect of radiotherapy and bisphosphonate on bone metastases from renal cell carcinoma.Gan To Kagaku Ryoho201340111497150124231702
     [Google Scholar]
  12. HartyJ.A. BrennanD. EustaceS. O’ByrneJ. Percutaneous cementoplasty of acetabular bony metastasis.Surgeon200311485010.1016/S1479‑666X(03)80010‑015568426
     [Google Scholar]
  13. HarrisK. PugashR. DavidE. YeeA. SinclairE. MyersJ. ChowE. Percutaneous cementoplasty of lytic metastasis in left acetabulum.Curr. Oncol.20071414810.3747/co.2007.9517576457
     [Google Scholar]
  14. SunG. WeiD. LiuX. ChenY. LiM. HeD. ZhongJ. Novel biodegradable electrospun nanofibrous P(DLLA-CL) balloons for the treatment of vertebral compression fractures.Nanomedicine20139682983810.1016/j.nano.2012.12.00323318398
     [Google Scholar]
  15. ClineM. HermanJ. ShawE.R. MortonR.D. Standardization of the visual analogue scale.Nurs. Res.199241637837910.1097/00006199‑199211000‑000131437591
     [Google Scholar]
  16. SinghJ.A. SchleckC. HarmsenS. LewallenD. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty.BMC Musculoskelet. Disord.201617125610.1186/s12891‑016‑1106‑827286675
     [Google Scholar]
  17. RadvanyM.G. MurphyK.J. MillwardS.F. BarrJ.D. ClarkT.W.I. HalinN.J. KinneyT.B. KunduS. SacksD. WallaceM.J. CardellaJ.F. Research reporting standards for percutaneous vertebral augmentation.J. Vasc. Interv. Radiol.200920101279128610.1016/j.jvir.2009.07.03019800540
     [Google Scholar]
  18. MichelJ.P. KlopfensteinC. HoffmeyerP. SternR. GrabB. Hip fracture surgery: Is the pre-operative American Society of Anesthesiologists (ASA) score a predictor of functional outcome?Aging Clin. Exp. Res.200214538939410.1007/BF0332446712602574
     [Google Scholar]
  19. ZhangR. YinY. LiA. WangZ. HouZ. ZhuangY. FanS. WuZ. YiC. LyuG. MaX. ZhangY. Three-column classification for acetabular fractures: Introduction and reproducibility assessment.J. Bone Joint Surg. Am.2019101222015202510.2106/JBJS.19.0028431764364
     [Google Scholar]
  20. LiuX. JinP. LiuK. ChenH. LiL. LiM. TangH. SunG. Comparison of percutaneous long bone cementoplasty with or without embedding a cement-filled catheter for painful long bone metastases with impending fracture.Eur. Radiol.201727112012710.1007/s00330‑016‑4347‑x27097791
     [Google Scholar]
  21. LiZ. ButalaN.B. EtheridgeB.S. SiegelH.J. LemonsJ.E. EberhardtA.W. A biomechanical study of periacetabular defects and cement filling.J. Biomech. Eng.2007129212913610.1115/1.247236717408317
     [Google Scholar]
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Multisite Percutaneous Bone Augmentation for the Treatment of Acetabular Osteolytic Metastases Involving the Articular Surfaces: A Randomised Trial
Curr. Med. Imaging 20, E280323215024 (2024); https://doi.org/10.2174/1573405620666230328083639
/content/journals/cmir/10.2174/1573405620666230328083639
/content/journals/cmir/10.2174/1573405620666230328083639
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  • Article Type:     Research Article
Keyword(s): Acetabular osteolytic metastases; Articular surfaces; Bone frame structure reconstruction; Clinical outcomes; Multisite percutaneous bone augmentation; PBA

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