ORGAN-PRESERVING SURGICAL INTERVENTIONS FOR METASTASES OF MALIGNANT TUMOURS IN TUBULAR BONES
As patients with cancer live longer, the incidence of metastatic bone disease is increasing. The treatment outcomes of 105 patients with long bone metastases were analyzed retrospectively. Endoprosthetic reconstruction (40.2%) and intramedullary nailing (29.7%) were the main operative interferences. Extremity functions were saved in 85.7% of patients. The 1-year survival was 62.0%, the 3-year — 28.5%, and the 5-year survival was observed in 11.4%of patients the mean survival time being 20 months. Lung cancer, visceral metastases and the terms of the metastases development were negative prognostic factors. Surgical treatment allows improve the patient’s quality of life and receive satisfactory functional results.