Metastatic Bone Disease: Diagnosis, Evaluation, and Treatment by J. Sybil Biermann, Ginger E. Holt, Valerae O. Lewis, Herbert S. Schwartz, and Michael.

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Presentation transcript:

Metastatic Bone Disease: Diagnosis, Evaluation, and Treatment by J. Sybil Biermann, Ginger E. Holt, Valerae O. Lewis, Herbert S. Schwartz, and Michael J. Yaszemski J Bone Joint Surg Am Volume 91(6): June 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B A “rodded” sarcoma. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

An intramedullary nail has been placed. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A sixty-two-year-old man with a history of squamous cell carcinoma of the tongue presented with worsening pain in the proximal part of the left thigh and the left hip of three months' duration. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A postoperative anteroposterior radiograph shows a reconstruction with polymethylmethacrylate and cannulated screws that was performed through an extended iliofemoral approach. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The strategy described by Tomita et al. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The strategy described by Walker et al. J. Sybil Biermann et al. J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.