Table 6.
Patients who underwent reoperation secondary to new location of bone metastasis
| Patient number | Patient age at index procedure (years) | Primary cancer | Index procedure | Second site | Time to second site surgery (months) | Treatment of second site |
|---|---|---|---|---|---|---|
| 1 | 69 | Renal carcinoma | Right proximal humeral shoulder arthroplasty | Left femur | 0 (5 days) | Prophylactic stabilization with IMN |
| 2 | 66 | Multiple myeloma | Right proximal humeral resection and endoprosthetic shoulder arthroplasty | Right femur | 41 | Prophylactic stabilization with IMN |
| 3 | 68 | Breast carcinoma | Right humeral prophylactic IMN | Right femur | 27 | Long-stem cemented hip hemiarthroplasty |
| 4 | 59 | Breast carcinoma | Left humeral IMN ORIF for pathologic fracture | Right humerus | 12 | Prophylactic stabilization with IMN |
| 5 | 62 | Multiple myeloma | Right hip long-stem cemented calcar hemi-arthroplasty | Left femur | 2 | Prophylactic stabilization with IMN |
| 6 | 39 | Multiple myeloma | Left femur prophylactic IMN | Right humerus | 15 | Humeral IMN for pathologic fracture |
IMN = intramedullary nail; ORIF = open reduction internal fixation.