Metastatic disease affecting the proximal tibia is rarer than disease affecting the
femur; however, it presents unique challenges that the orthopaedic surgeon must address
to ensure successful outcomes and return the patient to an ambulatory status. The
essential workup for evaluating and treating these patients is addressed briefly in
this review as a summary of the information is provided in part 1 of this series.
Part 2 of this series will focus on the surgical treatment of these lesions, which
can be complex and is not as well described in the literature. Procedures ranging
from open reduction internal fixation with cement augmentation to complex endoprosthetic
reconstruction can be employed to address proximal tibia metastatic disease. An awareness
of these various treatment modalities allows the orthopaedic surgeon to plan the most
effective operation for the patients under their care.
Keywords
metastatic disease - tibia - knee - orthopaedic oncology
