The authors have treated one hundred fractures of the femur of metastatic origin. They conclude that surgery, when technically possible, should always be undertaken. Internal fixation gave better results than prosthetic replacement of the upper end of the femur. Intramedullary nailing can be followed by radiotherapy and shaft fractures may unite after such treatment. The treatment of the primary lesion must be started as soon as possible by radiotherapy or chemotherapy.
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