metastasis

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

Subcapital Femoral Neck Metastasis

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