Analysis of Intramedullary Nail and Prosthetic Reconstruction After Surgical Treatment of Bone Metastases of Proximal Femur

Costantino Errani600 enrolled

Overview

The investigators will collect data of patients treated surgically for impending or pathological fracture of the proximal femur due to bone metastases between 01/01/2000 and 31/12/2023 with IMN or THA or HHA or MegaTHA or Mega. After pre-screening the databases of the respective sites, the investigators expect to find approximately a total of 600 patients. A review will be made from the medical records, radiological imaging, and histological data of partecipants.

Study Type

OBSERVATIONAL

Enrollment

600

Conditions

Bone Metastases

Interventions

AnalysisOTHER

Analysis and review of imaging and clinical data

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Male and female adult patients surgically treated between 01/01/2000 and 31/12/2023 in Rizzoli Orthopaedic Institute and in Massachusetts General Hospital. * Age ≥18 y (at the time of surgery) * Patients with impending or pathological fracture due to bone metastases of the proximal femur (head/neck, intertrochanteric, subtrochanteric area). * Patients who underwent either IMN or THA or HHA or Mega or MegaTHA. * Patients with available clinical and imaging data. Exclusion Criteria: * Patients with pathological or impending fracture of proximal femur due to primary bone tumor.

Outcomes

Primary Outcomes

Analysis of implant survival

Assess the longevity associated with the different surgical treatments used for proximal femur bone metastases.

Time frame: through study completion, an average of 1 year

Analysis of complications

Assess the post-operative complications associated with the different surgical treatments used for proximal femur bone metastases.

Time frame: At baseline ( T0)

Analysis of functional score

Assess the functional score associated with the different surgical treatments used for proximal femur bone metastases.

Time frame: 1 year