Source:http://linkedlifedata.com/resource/pubmed/id/12071194
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
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| pubmed:dateCreated |
2002-6-17
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| pubmed:abstractText |
AIM OF THE STUDY, METHOD: The advantages of a prophylactic care of fracture-endangered, osseous metastasis of the mammary cancer stand opposite to the perioperative risk and to conservative alternatives. As a pathologic fracture cannot surely be excluded while performing a conservative proceeding, a retrospective trial was set up to compare the results of treatment after a pathologic fracture (n = 35) with those undergoing a prophylactic attendance (n = 44). RESULTS: The intraoperative, cardio-pulmonary complications were distributed in balance totally amounting to 20.3% (n = 16). Intraoperative complications concerning surgical procedure (n = 3) exclusively occurred within the fracture group. Generally, postoperative complications arose in 20.3% (n = 16) of all cases, in which the patients belonging to the fracture group were increasingly afflicted [28.6% (n = 11/35) vs. 11.4% (n = 5/44); p < 0.02]. While there were no differences between both groups concerning the postoperative, surgery-technical complications, significantly more patients (91.8% [n = 40/44]) of the prophylactic-care group achieved a complete postoperative usability of the operated area than in the fracture-group [74.3% (n = 26/35)] (p < 0.05). The average survival time tended to be longer within the prophylactic-care group [19.3 +/- 15.6 month (prophylactic-care group) vs. 15.0 +/- 16.9 month (fracture group)]. CONCLUSIONS: The prophylactic treatment of fracture endangered, osseous metastasis of the mammary cancer leads to reduction of the general, postoperative complications compared to the patients with a pathologic fracture. Further, those patients have a better chance to recover full mobility after surgery. Considering the long survival time after the incidence of osseous metastasis at the mammary cancer a prophylactic treatment represents the method of first choice compared with the conservative treatment which persistently contains the risk of fracturing.
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| pubmed:language |
ger
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Apr
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| pubmed:issn |
0177-5537
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
105
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
338-43
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| pubmed:dateRevised |
2011-1-11
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| pubmed:meshHeading |
pubmed-meshheading:12071194-Adult,
pubmed-meshheading:12071194-Aged,
pubmed-meshheading:12071194-Aged, 80 and over,
pubmed-meshheading:12071194-Arthroplasty, Replacement, Hip,
pubmed-meshheading:12071194-Bone Neoplasms,
pubmed-meshheading:12071194-Breast Neoplasms,
pubmed-meshheading:12071194-Female,
pubmed-meshheading:12071194-Femoral Neoplasms,
pubmed-meshheading:12071194-Fracture Fixation, Internal,
pubmed-meshheading:12071194-Fracture Healing,
pubmed-meshheading:12071194-Fractures, Spontaneous,
pubmed-meshheading:12071194-Hip Fractures,
pubmed-meshheading:12071194-Humans,
pubmed-meshheading:12071194-Humeral Fractures,
pubmed-meshheading:12071194-Middle Aged,
pubmed-meshheading:12071194-Quality of Life,
pubmed-meshheading:12071194-Retrospective Studies,
pubmed-meshheading:12071194-Survival Rate
|
| pubmed:year |
2002
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| pubmed:articleTitle |
[Treatment outcome after surgical management of osseous breast carcinoma metastases. Preventive stabilization vs. management after pathological fracture].
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| pubmed:affiliation |
Klinik und Poliklinik für Orthopädie, Universität zu Köln, Josef-Stelzmann-Str. 9, 50924 Köln, Deutschland.
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| pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
|