caa a22 4500 477098320 CHVBK 20180405111534.0 cr unu---uuuuu 170330e19960201xx s 000 0 eng 10.1007/BF02625949 doi (NATIONALLICENCE)springer-10.1007/BF02625949 Surgical treatment of bone metastases [Elektronische Daten] [W. Mutschler, R. Wirbel] Chirurgische Behandlung von Skelettmetastasen Summary: Background: Various therapeutic modalities exist in the management of bone metastatic disease. The role of surgery bas to be defined. Methods: The different surgical principles and techniques are described in respect of the localization of the bone metastases. The clinical data, functional results and complications of 506 cases are presented by a retrospective study. Results: Surgery is absolutely indicated in pathologic fractures of long bones and innominate bone involving the hip joint and in defined spinal lesions. Relative indications for surgery are given in cases where the risk of sustaining a pathologic fracture is high, in cases where spinal neurologic deficit can be expected and in patients where the tumor grows despite adequate irradiation and chemotherapy. Operation afforded significant pain relief; function was maintained or restored in 2 thirds of the patients. The mean survival time was 12 months. During that time about 80% of the patients stated an improved quality of life due to pain reduction and ability to walk. Conclusions: The goals of treatment of skeletal metastases are palliative: pain reduction, preservation or restoration of function and improvement of quality of life. All surgical procedures have to consider the short life expectancy and therefore have to guarantee stability, early mobilization and short hospitalization. Blackwell Science Ltd, 1996 Bone metastases nationallicence surgical treatment nationallicence pathologic fracture nationallicence Knochemetastasen nationallicence operative Therapie nationallicence pathologische Fraktur nationallicence Mutschler W. Department of Trauma and Reconstructive Surgery, Surgical University Clinic, Oscar-Orth-Straße, D-66421, Homburg/Saar, Germany aut Wirbel R. Department of Trauma and Reconstructive Surgery, Surgical University Clinic, Oscar-Orth-Straße, D-66421, Homburg/Saar, Germany aut Acta Chirurgica Austriaca Springer-Verlag 28/1(1996-02-01), 14-18 0001-544X 28:1<14 1996 28 10353 https://doi.org/10.1007/BF02625949 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02625949 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mutschler W. Department of Trauma and Reconstructive Surgery, Surgical University Clinic, Oscar-Orth-Straße, D-66421, Homburg/Saar, Germany aut NATIONALLICENCE 700 1- Wirbel R. Department of Trauma and Reconstructive Surgery, Surgical University Clinic, Oscar-Orth-Straße, D-66421, Homburg/Saar, Germany aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/1(1996-02-01), 14-18 0001-544X 28:1<14 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer