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The local rate of failure was 10.3% (15 of 146). Of 37 operations involving osteosynthetic devices, six failed (16.2%) compared with nine (8.3%) in 109 operations involving endoprostheses. Of nine cases of prosthetic failure, four were due to periprosthetic fractures and three to recurrent dislocation. In the osteosynthesis group, three (13.6%) of 22 reconstruction nails failed. The two-year risk of re-operation after any type of osteosynthesis was 0.35 compared with 0.18 after any type of endoprosthetic reconstruction (p = 0.07). Endoprosthetic reconstructions are preferable to the use of reconstruction nails and other osteosynthetic devices for the treatment of metastatic lesions in the proximal third of the femur. <\/jats:p>","DOI":"10.1302\/0301-620x.87b12.16629","type":"journal-article","created":{"date-parts":[[2005,12,2]],"date-time":"2005-12-02T18:23:49Z","timestamp":1133547829000},"page":"1653-1657","source":"Crossref","is-referenced-by-count":197,"title":["Surgical treatment of skeletal metastatic lesions of the proximal femur"],"prefix":"10.1302","volume":"87-B","author":[{"given":"R.","family":"Wedin","sequence":"first","affiliation":[{"name":"Oncology Service, Department of Orthopaedics, Karolinska University, Hospital, SE 17176, Stockholm, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. C. 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