Proximal Femoral Replacement for Metastatic Bone Disease - A Case Series

Background: The proximal femur is a common area for development of skeletal metastasis that further disrupts an ill patient ’ s quality of life. Resulting complications include pathological fractures leading to compromised functionality. Proximal femoral replacement allows to attain the requirements of surgery in metastatic bone such as stable fixation of the entire bone, allowing immediate weight bearing and the earliest possible return to function. Preventative treatment for metastatic lesions using an endoprosthesis before a fracture occurs, can modify the patient ’ s quality of life, reduce pain and may decrease mortality associated with the lesion. Our aim is to present case based evidence to show that proximal femoral replacement provides a better option for limb salvage surgery after metastatic bone disease. Methods: Study design: Case Series