Treatment algorithm for metastatic malignancies in the lower extremities.

Furthermore, operative time, blood loss and survival rates were compared between impending and pathological fractures.

The participants' median age was 70.5 years, with disease sites primarily in the subtrochanteric femur, trochanteric femur, femoral diaphysis, femoral neck and other locations.

The median Eastern Cooperative Oncology Group performance status score pre-fracture was 2.

Surgical interventions included intramedullary nailing (16 cases), endoprosthesis (1 case), bipolar head replacement (3 cases) and compression hip screw (3 cases), among others.