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Functional and Oncological Outcome of Acetabular Reconstruction for the Treatment of Metastatic Disease* by Rex A. W. Marco, Dhiren S. Sheth, Patrick J.

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Presentation on theme: "Functional and Oncological Outcome of Acetabular Reconstruction for the Treatment of Metastatic Disease* by Rex A. W. Marco, Dhiren S. Sheth, Patrick J."— Presentation transcript:

1 Functional and Oncological Outcome of Acetabular Reconstruction for the Treatment of Metastatic Disease* by Rex A. W. Marco, Dhiren S. Sheth, Patrick J. Boland, Jay S. Wunder, Jeffrey A. Siegel, and John H. Healey J Bone Joint Surg Am Volume 82(5):642-642 May 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

2 Diagram demonstrating the triangulation guide used to place pelvic-acetabular pins and screws accurately and safely in an antegrade fashion. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

3 Figs. 2-A, 2-B, and 2-C: A patient who had a metastatic lesion involving the right acetabulum.Fig. 2-A: Pelvic radiograph demonstrating the metastatic lesion with a pathological fracture of the medial acetabular wall (large arrow). Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

4 Computerized tomography scan showing involvement of the posterior and anterior columns by the metastatic lesion. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

5 Radiograph showing the acetabular reconstruction with 170-millimeter cannulated screws to reinforce the columns. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

6 Kaplan-Meier survivorship curves, including 95 percent confidence intervals, for patients who had metastatic disease, with and without visceral metastases. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

7 Kaplan-Meier survivorship curves, including 95 percent confidence intervals, for patients with metastatic breast carcinoma and for patients with any other type of metastatic carcinoma. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

8 Figs. 5-A, 5-B, and 5-C: A patient who had prostate cancer that metastasized to involve the anterior column, medial wall, and superior dome of the right acetabulum.Fig. 5-A: Preoperative radiograph demonstrating the large lytic lesion involving the acetabul... Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

9 Fig. 5-B: Postoperative radiograph illustrating the reconstruction with antegrade pin reinforcement of the acetabular dome and a cemented protrusio cup. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

10 Follow-up radiograph showing local progression of the disease, between eight and nine months postoperatively, causing progression of the pelvic osteolysis. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.


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