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The Journal of Bone and Joint Surgery 80:763-4 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Robert E. Zickel, M.D. and Alan D. Aaron, M.D.

TO THE EDITOR:

In the article "Current Concepts Review. Treatment of Metastatic Adenocarcinoma of the Pelvis and the Extremities" (79-A: 917–932, June 1997), Aaron indicated that the ideal treatment for fractures secondary to metastases is internal fixation or prosthetic replacement with methylmethacrylate. Aaron cited an article by Harrington et al.3, published in 1976, that advocated the use of methylmethacrylate with internal fixation. It was also stated that the duration of survival increased from 11.6 to 246 months. (I am sure that a decimal point was omitted and that this should be 24.6 months.) This improvement was attributed to the patients being able to walk again, which was thought to be secondary to the use of methylmethacrylate. However, Aaron cited the work of other investigators2,6 who also used methylmethacrylate in addition to internal fixation or prosthetic replacement but reported much shorter durations of survival. In particular, Lane et al.6 reported . . . [Full Text of this Article]


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