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Are cemented endoprosthetic reconstructions superior to uncemented endoprostheses in terms of postoperative outcomes and complications in patients with extremity-located bone metastasis scheduled for adjuvant radiotherapy?

Journal of Arthroplasty Sep 26, 2020

Erol B, et al. - This study was undertaken to investigate whether cemented endoprosthetic reconstructions superior to uncemented endoprostheses in terms of postoperative outcomes and complications in patients with extremity-located bone metastasis scheduled for adjuvant radiotherapy. Researchers retrospectively examined 130 extremities of 115 patients who had undergone resection and cemented or uncemented endoprosthetic reconstruction for bone metastasis, followed by postoperative radiation therapy. They evaluated functional improvement by Karnofsky Performance Scale and Musculoskeletal Tumor Society (MSTS) scoring. They recorded complications resulting in reconstruction failure and patient survival. No significant variation was found in complication rates of cemented or uncemented endoprosthetic reconstructions in patients with extremity-located bone metastases scheduled for adjuvant radiotherapy. At the last follow-up, the only result in favor of cemented prostheses was significantly higher MSTS functional scores.

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