• J Surg Oncol · Sep 2016

    Review

    Outcome after fixation of metastatic proximal femoral fractures: A systematic review of 40 studies.

    • Stein J Janssen, Teun Teunis, Francis J Hornicek, C Niek van Dijk, Jos A M Bramer, and Joseph H Schwab.
    • Department of Orthopaedic Surgery, Orthopaedic Oncology Service Boston, Massachusetts General Hospital-Harvard Medical School, Boston, Massachusetts.
    • J Surg Oncol. 2016 Sep 1; 114 (4): 507-19.

    AbstractEndoprosthetic reconstruction, intramedullary nailing, and open reduction internal fixation (ORIF) are the most commonly practiced surgical strategies for treatment of metastatic proximal femoral fractures. This review describes functional outcome, local, and systemic complications. All three surgical strategies result in reasonable function on average; however, wide ranges indicate that both poor and good functional levels are obtained. We found that the overall reoperation rate was comparable for endoprosthesis and intramedullary nailing, but was higher for ORIF. J. Surg. Oncol. 2016;114:507-519. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

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