title: Current orthopaedic management of bony metastases in the proximal third of the femur.
abstract: Patients presenting with skeletal metastatic lesions requiring surgery are increasing, this is due to an ageing population and improved oncological survival following advances in medical management. Furthermore, patients are living longer with skeletal metastatic disease. The majority of bone metastases occur in the proximal femur. Robust diagnosis (Biopsy) and treatment is required to ensure that patients can mobilise fully weight bearing immediately post-surgery and that the construct should outlive the patients expected survival. We review the changing management of metastatic disease in the proximal femur.
authors.affiliation: Avon Orthopaedic Centre, North Bristol NHS Trust, Bristol - UK.
authors.forename: Sam C
authors.initials: SC
authors.lastname: Jonas
authors.affiliation: Avon Orthopaedic Centre, North Bristol NHS Trust, Bristol - UK.
authors.forename: Sanchit M
authors.initials: SM
authors.lastname: Mehendale
authors.affiliation: Avon Orthopaedic Centre, North Bristol NHS Trust, Bristol - UK.
authors.forename: Simon M
authors.initials: SM
authors.lastname: Bick
authors.affiliation: Avon Orthopaedic Centre, North Bristol NHS Trust, Bristol - UK.
authors.forename: Richard P
authors.initials: RP
authors.lastname: Baker
mesh_terms: D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D005266:Femoral Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods* / Q000639:trends; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome