Background
Aim 

The identification of skeletal metastasis & fixation prior to fracture
Incidence
50% of new cancer cases have metastasis
- 1% have pathological fracture
- increasing with more aggressive palliative care
The identification of skeletal metastasis & fixation prior to fracture
50% of new cancer cases have metastasis
- 1% have pathological fracture
- increasing with more aggressive palliative care
Fractures
Principle
- do very poorly with fixation
- hemiarthroplasty or THR
- stem should be 2.5 cortical diameters beyond any area of weakness
- THR if acetabulum involved