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, Joseph H. Schwab

Research output: Contribution to journalReview article*Academicpeer-review


Endoprosthetic 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
Original languageEnglish
Pages (from-to)507-519
JournalJournal of Surgical Oncology
Issue number4
Publication statusPublished - 2016

Cite this