Table 4.
Previous reports regarding surgical procedures for femoral metastatic lesions
| Study | Number of case | IMN | EPR | Plating and cementation | Other procedure | Result (reoperation, complication) |
|---|---|---|---|---|---|---|
| Nilsson at al. [7] 2008 | 245 | 55 (22.4 %) | 157 (64.1 %) | 30 (12.2 %) | 3 (1.2 %) | Reoperation: 1.8 % IMN, 9.1 % ORIF |
| Sarahrudi et al. [8] 2009 | 139 | 94 (67.6 %) | 23 (16.5 %) | 15 (10.8 %) | 7 (5.1 %) | Complication: 3.2 % IMN, 8.6 % EPR, 20 % ORIF |
| Mavrogenis et al. [9] 2011 | 110 | 53 (48.2 %) | 57 (51.8 %) | – | – | Complication: 1.9 % IMN, 8.8 % EPR |
| Weiss et al. [13] 2013 | 196 | 108 (55.1 %) | 82 (41.8 %) | – | 6 (3.1 %) | Reoperation: 9.3 % IMN, 6.1 % ORIF |
| Harvey at al. [10] 2012 | 159 | 46 (28.9 %) | 113 (71.1 %) | – | – | Reoperation: 26.1 % IMN, 8.0 % EPR |
| Revision: 21.7 % IMN, 2.7 % EPR | ||||||
| Steensma at al. [11] 2012 | 298 | 82 (27.5 %) | 197 (66.1 %) | 19 (6.4 %) | – | Reoperation: 6.1 % IMN, 3.0 % EPR, 42.1 % ORIF |
| Alvi at al. [12] 2013 | 53 | 16 (30.2 %) | 36 (67.9 %) | 1 (1.9 %) | – | Revision: 35.6 % IMN |
| Current study | 186 | 80 (43.0 %) | 95 (51.1 %) | 8 (4.3 %) | 3 (1.6 %) | Revision: 3.8 % IMN |
IMN intramedullary nailing, EPR endoprosthetic reconstruction, ORIF open reduction and internal fixation