Clinical orthopaedics and related research 2010-10
In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture.
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When do you recommend prophylactic orthopaedic stablization of a long bone metastasis perceived to have high risk of pathologic fracture?
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Mednet Member
Radiation Oncology · Providence Health, St. Joseph Hospital
The risk of pathologic fracture is dependent on how much weight bearing the site of metastasis bears (lower extremities higher risk than upper extremities), size of the metastasis (>= 2.5 cm in the cortex of the femur is high risk), whether the lesion is lytic versus blastic (lytic is worse), and pe...
What is a safe and effective ablative dose and fractionation for oligometastasis to humeral head or femoral neck from lung cancer with controlled disease elsewhere?
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Radiation Oncology · Mayo Clinic
This is becoming a more common clinical scenario with the improvements in systemic therapies and growing bodies of literature supporting the utility of SBRT as a metastasis-directed therapy. A practice pattern analysis of non-spine bone SBRT dose prescriptions and treatment planning was recently pub...