Skeletal metastases are common in the adult population. The proximal femur is a frequently affected bone in the appendicular skeleton. The orthopaedic surgeon may be the first to find a pathologic lesion of the proximal femur and appropriate diagnosis and nonoperative management is essential prior to surgical treatment. Bisphosphonates and radiation therapy are used in conjunction with surgical management to minimize pain and prevent further destruction. Surgical management may consist of internal fixation, with or without polymethylmethacrylate, or endoprosthesic replacement. The goal of treatment is to relieve pain and allow for function while minimizing systemic complications.





Polls results
1

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
75% Article relates to my practice (3/4)
0% Article does not relate to my practice (0/4)
25% Undecided (1/4)
2

Will this article lead to more cost-effective healthcare?

25% Yes (1/4)
75% No (3/4)
0% Undecided (0/4)
3

Was this article biased? (commercial or personal)

0% Yes (0/4)
100% No (4/4)
0% Undecided (0/4)
4

What level of evidence do you think this article is?

25% Level 1 (1/4)
0% Level 2 (0/4)
75% Level 3 (3/4)
0% Level 4 (0/4)
0% Level 5 (0/4)