Do you still routinely offer post-op radiation after bone fixation?
A recent article published in the Journal of Bone Oncology found that postoperative radiotherapy was not associated with lower tumor-related implant failure after surgery for metastasis in major long bones, was associated with increased revision risk in patients treated with prostheses, and questioned the routine use of radiotherapy after surgery of the major long bones.
Does this information change your practice patterns?
Community PollStarted
For postoperative radiation after intramedullary nail placement for a pathologic fracture or prophylactic fixation of a long-bone metastasis, what do you include in your treatment field?
354 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · The Ohio State University - James Cancer Hospital and Solove Research Institute
Answered on
I'm a little nervous about the phrasing of the question as it implies that there is an ongoing evolution in practice here. I don't think there is. To emphasize, PORT is--and remains--the standard of care following orthopedic stabilization of bony metastases: Alcorn et al., PMID 38788923
Now, it is fa...
Join for free or sign in to see the full answer
Mednet Member
Radiation Oncology · Lynn Cancer Institute - Baptist Health City, Baptist Health South Florida
Answered on
This information would not change my practice pattern. I would be interested to know the delineation of the target volume and if all hardware was targeted, as I do not see any radiation details on dose selection/target delineation/etc. Of note, in this series, the median time to initiation of PORT w...
Join for free or sign in to see the full answer