Metastatic Bone Disease: Femur

The femur remains the most common location for metastatic bone disease in the appendicular skeleton. More specifically, the proximal femur is most often involved. Metastatic disease to the femur is often associated with significant pain both at rest and with activity, which often limits the mobility status and adversely affects quality of life of the affected individual. The general orthopedist will have an understanding of the importance of a systematic, individualized, and multidisciplinary approach needed to appropriately treat these patients. The reader will become familiar with nonoperative and operative treatment strategies and the indications for each.