From 1973 to 1992, 20 cases of pathological fractures around the hip secondaryto skeletal metastases were treated in our institution. The surgical treatment was performedby internal fixation or arthroplasty according the location and extension of the lesion. In 8cases the fracture was located in the femoral neck, 6 cases were intertrochanteric fracturesand 6 cases were subtrochanteric fractures. In the surgical management the importance of inmediatelyinternal fixation, with the use of methylnietacrilate and post surgical radiotherapyare justified. Always the pain was relieved and the functional result was good in 70%. In 7cases were local complications. The surgical treatment should be more agresive in these specialpatients, because the inmediately rehabilitation is essential in your quality lifes.

From 1973 to 1992, 20 cases of pathological fractures around the hip secondaryto skeletal metastases were treated in our institution. The surgical treatment was performedby internal fixation or arthroplasty according the location and extension of the lesion. In 8cases the fracture was located in the femoral neck, 6 cases were intertrochanteric fracturesand 6 cases were subtrochanteric fractures. In the surgical management the importance of inmediatelyinternal fixation, with the use of methylnietacrilate and post surgical radiotherapyare justified. Always the pain was relieved and the functional result was good in 70%. In 7cases were local complications. The surgical treatment should be more agresive in these specialpatients, because the inmediately rehabilitation is essential in your quality lifes.