My, now late, wife had metastatic breast cancer in various sites including her right femur. This led to a pathological subtrochanteric fracture of the femur at the site of the lesion. She was fitted with a femoral nail which is a long titanium rod which is secured at the lower end of the femur with cross-fastened screws, and a transverse lag-screw up into the head of the femur. Sadly this was only one metastatic tumour but she was able to bear weight and was free of pain in that area. She died from multiple organ failure from mainly liver mets. The procedure should leave the patient in very little pain after recovery.
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