A Case Report on Pathological Neck of Femur Fracture due to Metastasis Treated by Total Hip Replacement

Femoral neck fractures pose a significant burden to the healthcare system in developed and developing countries, with the annual incidence expected to increase in the coming years. A small minority of patients sustain femoral neck fractures because of underlying pathological lesions. Pathological fractures may be caused by any bone lesion (benign, primary malignant or metastatic), but metastatic bone tumours and multiple myeloma are far more prevalent than other primary bony malignancies in the elderly population.There is also a steady decrease in mortality rate of 1.5% per year in patients with cancer and, as the population's life expectancy increases, there is an increased prevalence of bony metastases with subsequent risk of pathological fractures.Breast, thyroid, kidney, lung and prostate primary malignancies have a predilection for bony metastases, though any primary malignancy can metastasise to bone.We had a case of 54 yr old male diagnosed as pathological neck of femur fracture and post op biopsy suggested secondary metastasis.