Oliva Maria Serena, Vitiello Raffaele, Cauteruccio Michele, Pesare Elisa, Rovere Giuseppe, Meschini Cesare, Liuzza Francesco, Maccauro Giulio, Ziranu Antonio
Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Catholic University of the Sacred Heart, Rome, Italy.
Orthop Rev (Pavia). 2020 Jun 26;12(Suppl 1):8689. doi: 10.4081/or.2020.8689. eCollection 2020 Jun 29.
The proximal femur is the long bone most commonly affected by metastatic disease. There are many treatment options, such as hip megaprostheses. A topic still widely debated in literature is the use of cemented or uncemented megaprostheses in this kind of patients. The purpose of this review is to examine both these surgical options to understand which of them should be preferred in metastatic patients. Twelve articles were finally included in the review. Eight authors used cemented mega - prostheses, two cementless megaprostheses and two authors used both techniques. Better functional outcomes and lower infection rates were found in cementless mega - prostheses. More studies have to be performed to choose the better technique and improve patients' quality of life.
股骨近端是最常受转移性疾病影响的长骨。有许多治疗选择，比如髋关节大型假体。在这类患者中使用骨水泥型或非骨水泥型大型假体仍是文献中广泛争论的一个话题。本综述的目的是研究这两种手术选择，以了解在转移性患者中哪种更应优先选用。该综述最终纳入了12篇文章。8位作者使用了骨水泥型大型假体，2位使用了非骨水泥型大型假体，2位作者同时使用了这两种技术。在非骨水泥型大型假体中发现了更好的功能结果和更低的感染率。还需要进行更多研究以选择更好的技术并改善患者的生活质量。
