Evaluation of the prevalence of tumor lesions of the proximal femur on the basis of spiral computed tomography
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2016, Vol 602, Issue 1
The affection of the proximal femur with malignant tumors ranked first in the case of metastatic lesions and the second - among all sites of primary malignant tumors of the long bones. Anatomically, this area is quite sophisticated and high accuracy of topical diagnosis and evaluation of tumors prevalence is required. Spiral computed tomography (SCT) provides an accurate representation of tumors spread to bone and surrounding soft tissues. The problems of development patterns of extra-osteal component of tumor in upper third of the arm, soft tissue reconstruction, restoration of joint function and limb as a whole. The goal: to investigate the features of lesions of bone and soft tissue structures in malignant tumors of the upper third of the thigh based SCT data. The methods: the results of SCT studies of 55 patients with lesions of the upper third of the femur with malignant tumors were selected for analysis. SCT results were analyzed according to the method that was designed to assess the prevalence of tumor process in the proximal femur. The method is based on the study of tumor growth along the thigh, the direction and extent of the tumor extra-osteal component in the horizontal plane. The results: a working classification of tumor dissemination in the proximal femur, depending on the extension of the tumor along a portion of the upper half of the thigh, the development direction and severity of tumor process in soft tissues is proposed. Conclusion: the proposed working classification will help to determine the possibility of surgical treatment of patients with malignant tumors of the upper third of femur, as well as to clarify the indications for different types of organ-saving surgical treatment of with soft tissue reconstructive procedures for femur and hip to improve functional outcomes of patient treatment.
Authors and Affiliations
Oleg Vyrva, Roman Malyk, Yanina Golovina
BIOMECHANICAL RATIONALE OF ACETABULAR WALL AUGMENTATION METHOD FOR JOINT REPLACEMENT IN CONDITION OF OSTEOPOROSIS
Osteoporosis worsens the qualitative and quantitative characteristics of bone, which is a hostile environment for the stable long-fixation of acetabular component in hip joint endoprosthesis. Despite the large number of...
Effect of bone canal widening after anterior cruciate ligament reconstruction [Эффект расширения костных каналов после реконструкции передней крестообразной связки]
One of the complications after anterior cruciate ligament reconstruction is widening of bone canals after surgery, it can lead to slow integration of the graft with bone, promotion of secondary instability and revision r...
Multimodal analgesia with anapiron, nonsteriod anti-inflammatory drugs, local infiltrative anesthesia, and pregabalin in case of primary total hip arthroplasty [Мультимодальна анальгезія з використанням Анапірону, нестероїдних протизапальних препаратів, локальної інфільтраційної анестезії та прегабаліну в разі первинного ендопротезування кульшового суглоба]
Objective: to evaluate the effectiveness of anesthesia, side effects and time to activation from the bed patients with hip joint arthritis of the IV stage after total hip arthroplasty using multimodal analgesia with Anap...
Peculiarities of gunshot wound treatment of the wrist in modern conditions [Особенности лечения огнестрельных ранений кисти в современных условиях]
The analysis of injuries as a result of military conflicts shows that gunshot wounds are 9–25 %. Objective: to find out the peculiarities of the gunshot wound treatment of the wrist at the stages of medical evacuation o...
Investigation of stress-strain state in spinal model for various methods of surgical treatment of thoracolumbar burst fractures (part one)
There are different views on the treatment of burst fractures of the lower thoracic and lumbar spine. Some specialists prefer conservative methods of treatment, others use a spinal fusion of 360° (anterior and posterio...
How To Cite
Oleg Vyrva, Roman Malyk, Yanina Golovina (2016). Evaluation of the prevalence of tumor lesions of the proximal femur on the basis of spiral computed tomography. Orthopaedics, Traumatology and Prosthetics, 602(1), 41-49. https://europub.co.uk/articles/-A-203519