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Volume 20, Issue 4, Pages 548-552 (April 2009)


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Treatment of Metastatic Carcinoma to the Hip with CT-guided Percutaneous Acetabuloplasty: Report of Four Cases

Bishnu H. Sapkota, MBBSa, Ariel E. Hirsch, MDc, Albert J. Yoo, MDa, Francis J. Hornicek, MD, PhDd, Kevin A. Raskin, MDd, Daniel I. Rosenthal, MDb, Marion L. Growney, MSN, ACNPa, Joshua A. Hirsch, MDaCorresponding Author Informationemail address

Received 8 August 2008; received in revised form 11 November 2008; accepted 13 November 2008. published online 29 December 2008.

Percutaneous acetabuloplasty (PA) is a promising treatment for painful metastatic lesions of the acetabulum. Four patients were treated with injection of the bone cement polymethylmethacrylate directly into the lesion. After the procedure, all four patients had improvement or relief of their pain and were able to resume weight-bearing activities. The procedure was well tolerated by each patient without morbidity. PA appears to be a reasonable palliative procedure for painful and fragile hips associated with metastatic bone disease.

a Department of Radiology/Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114

b Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114

c Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114

d Department of Orthopedic Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114

Corresponding Author InformationAddress correspondence to J.A.H.

 J.A.H. is a consultant and minor shareholder in Medtronic and Cardinal Healthcare.

PII: S1051-0443(08)01010-5

doi:10.1016/j.jvir.2008.11.008


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