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Metastatic Disease of Extremity
Posted: Mar 6 2012 #(C1165)
E

Metastatic Disease to Acetabulum with Hip Dislocation in 62M

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Metastatic Disease to Acetabulum with Hip Dislocation in 62M

HPI

62-year-old male presents with a 6 month history of increasing buttock pain with ambulation. Now using a walker.

PMH

Staging studies for this lesion showed a large renal cell carcinoma. No other sites of disease. Biopsy of this lesion shows carcinoma.

PE

Neurovascular intact, left leg significantly shorter than right, pain with any motion

Poll
1 of 1
1. What treatment would you propose?
Hindquarter amputation
0%
0/38
    • Roof-ring, cage non-cemented acetabular reconstruction
    31%
    12/38
    • Pins/cement to reconstruct the posterior column/wall defect, cemented total hip
    52%
    20/38
    • This case is giving me chest pain, I need an aspirin
    15%
    6/38
    • PROCEDURE #1 DOP: 10/14/2011

    Pre-op embolization, curettage of tumor, reconstruction of posterior column with pins to reconnect ilium to ischium through posterior column/wall defect, cemented total hip. Even with embolization, this patient lost 5 liters of blood in the 7 minutes it took us to scrape the tumor from the bone.

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    OUTCOMES
    Post-procedure P1
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