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Surgical Management of Metastatic Bone Disease by Jacob Bickels, Shlomo Dadia, and Zvi Lidar J Bone Joint Surg Am Volume 91(6):1503-1516 June 1, 2009 ©2009.

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Presentation on theme: "Surgical Management of Metastatic Bone Disease by Jacob Bickels, Shlomo Dadia, and Zvi Lidar J Bone Joint Surg Am Volume 91(6):1503-1516 June 1, 2009 ©2009."— Presentation transcript:

1 Surgical Management of Metastatic Bone Disease by Jacob Bickels, Shlomo Dadia, and Zvi Lidar J Bone Joint Surg Am Volume 91(6):1503-1516 June 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

2 Algorithm for evaluation of a patient with a known history of cancer and an aggressive bone lesion. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

3 Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

4 Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

5 A plain radiograph showing a Class-III acetabular metastasis, according to the Harrington classification, which includes deficiency of the lateral cortices and the superior wall44. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

6 Illustration showing reconstruction of a tumor cavity with a cemented intramedullary nail. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

7 Plain radiograph showing the reconstructed tumor cavity. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

8 Anteroposterior plain radiograph showing metastatic renal cell carcinoma of the entire proximal part of the humerus with extensive bone destruction and pathological fractures along the proximal part of the diaphysis and the surgical neck. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

9 Intraoperative photograph showing a modular tumor endoprosthesis used to reconstruct the defect created by resection of the proximal part of the humerus. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

10 Anteroposterior plain radiograph showing the cemented proximal humeral endoprosthesis. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

11 Coronal view of a computed tomography scan showing a Harrington Class-I44 acetabular metastasis from renal cell carcinoma. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.

12 Plain radiograph showing reconstruction of the acetabular cavity with cemented Steinmann pins. Jacob Bickels et al. J Bone Joint Surg Am 2009;91:1503- 1516 ©2009 by The Journal of Bone and Joint Surgery, Inc.


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