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

Sapkota, Bishnu H.; Hirsch, Ariel E.; Yoo, Albert J.; Hornicek, Francis J.; Raskin, Kevin A.; Rosenthal, Daniel I.; Growney, Marion L.; Hirsch, Joshua A.

doi:10.1016/j.jvir.2008.11.008

« Previous Next »Journal of Vascular and Interventional Radiology
Volume 20, Issue 4 , Pages 548-552, April 2009

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

Bishnu H. Sapkota, MBBS
- Department of Radiology/Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Ariel E. Hirsch, MD
- Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Albert J. Yoo, MD
- Department of Radiology/Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Francis J. Hornicek, MD, PhD
- Department of Orthopedic Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Kevin A. Raskin, MD
- Department of Orthopedic Oncology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Daniel I. Rosenthal, MD
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Marion L. Growney, MSN, ACNP
- Department of Radiology/Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
Joshua A. Hirsch, MD
- Department of Radiology/Division of Neurointerventional Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB 241, Boston, MA 02114
- Address correspondence to J.A.H.

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.

Abbreviations: GETA, general endotracheal anesthesia, PA, percutaneous acetabuloplasty, PMMA, polymethylmethacrylate, RF, radiofrequency, RT, radiation therapy, VAS, visual analog scale