Case of the Month

Rizzoli Case 9

A 43 year old woman with a history of breast cancer with bone metastasis presents with severe hip pain and inability to walk. Plain radiographs and a CT image of her right proximal femur are shown. [X1] [X2] [CT]

The patient has been active and her general condition is quite good. You have decided that the patient has the appropriate indications for operative intervention. What procedure do you choose?

The failure rate associated with fixation devices used to stabilize metastatic lesions of the proximal femur has been published [see partial text here]. What is the liklihood of failure of a proximal femoral plate and compression screw device based on this report? What is the reported overall failure rate at 60 months for femoral fixation?

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