{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:21:40Z","timestamp":1789820500521,"version":"4.0.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:00:00Z","timestamp":1314835200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>We report on the survival of 145 patients presenting to a single centre with a pathological metastatic fracture of the proximal femur. The single surviving patient had a follow-up of 17.7 years. Mean survival for the 144 patients who died was 332 days (range 2 to 3053 days), being longest for those with myeloma (662 days), lymphoma (&gt; 633 days) and breast tumours (477 days) and lowest for lung tumours (110 days). The most common sites for the primary tumour were breast (36%), prostate (23%) and lung (17%). 47% of fractures were intracapsular, 28% trochanteric and 25% subtrochanteric. 99% of the fractures were treated surgically with a mean hospital stay of 19 days. The commonest fracture healing complication was further fracture of the femur around or immediately below the implant which occurred after 9\/144 (6.2%) of operations. The difference in survival of patients related to the primary tumour site is of relevance in planning surgical treatment and discussing prognosis with patients.<\/jats:p>","DOI":"10.5301\/hip.2011.8654","type":"journal-article","created":{"date-parts":[[2011,9,21]],"date-time":"2011-09-21T08:56:21Z","timestamp":1316595381000},"page":"526-530","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Survival after Pathological Fractures of the Proximal Femur"],"prefix":"10.1177","volume":"21","author":[{"given":"Martyn J.","family":"Parker","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Peterborough City Hospital, Peterborough - UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif Z.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Peterborough City Hospital, Peterborough - UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom K.","family":"Rowlands","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Peterborough City Hospital, Peterborough - UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,9,21]]},"reference":[{"key":"bibr1-HIP.2011.8654","unstructured":"American Cancer Society. 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