Management of periacetabular metastatic disease

Osseous disease secondary to myeloma and metastatic carcinoma frequently involves the pelvis. The overall management is multidisciplinary and requires a team approach with surgical, medical, and radiation oncologic specialists. A thorough history and examination in addition to appropriate staging studies will demonstrate the extent of visceral and osseous disease as well as surgical candidacy. In spite of modifications over the years, the principles and designs of surgical constructs have not changed substantially over the past decade. This paper reviews the current concepts and trends in the evaluation and management of periacetabular metastatic disease.