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Osteosarcoma is an primary bone cancer that typically occurs during adolescence and young adulthood. Secondary os- teosarcoma following orthopedic implantation is extremely uncommon. We report an implant-related osteosarcoma in an adult patient who underwent internal fixation of an intertrochanteric fracture. The case underscores the requirement for long-term implant site surveillance for the early detection of neoplastic change.
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