Indications for ORIF of metastatic lesions
- Life expectancy greater than 1 - 2 months
- Continued pain after radiotherapy
- Lesion greater than 2.5 cm diameter (described for femur)
- Destruction of 50% or more of cortex of long bone
- Adequate bone quality
- Procedure would ® mobilisation & independence
- less than 50% cortical erosion ® 60% go on to fracture
greater than 50% cortical erosion ® 4% go on to fracture
