The Journal of Bone and Joint Surgery (American). 2006;88:11-19.
doi:10.2106/JBJS.F.00635
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Management of Lower-Extremity Bone Metastasis

Kristy L. Weber, MD, R. Lor Randall, MD, Seth Grossman, MS and Javad Parvizi, MD

Corresponding author:
Kristy L. Weber, MD
Department of Orthopaedic Surgery, Johns Hopkins School of Medicine,
601 North Caroline Street, JHOC #5251, Baltimore, MD 21287. E-mail
address: Kweber6@jhmi.edu

The first 150 words of the full text of this article appear below.


   Introduction
 
The incidence of metastatic bone disease is increasing as patients with cancer are living longer1. Although malignant skeletal tumors are usually initially managed by orthopaedic surgeons with expertise in oncology, patients with metastatic disease of the bone may seek medical care at community hospitals. Hence, general orthopaedic surgeons may often be required to care for patients with metastatic bone disease. The overall care of such patients often requires a multidisciplinary team of health-care providers, including a medical oncologist, radiation oncologist, orthopaedic surgeon, pathologist, radiologist, physical therapist, and chaplain1. There are multiple factors to consider in the treatment of patients with bone metastasis, including comorbidities, the histological characteristics of the primary tumor, the expected life span of the patient, the patient's activity level, and pain.

Surgical considerations involve the same issues in addition to the location of the tumor and the presence of neurologic symptoms. Occasionally, nonoperative treatment is . . . [Full Text of this Article]


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