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Proximal Femoral Reconstruction for Radical Resection of Metastatic Renal Cell Carcinoma

February 10, 2018

Contributors: Alexis M Lee, BA; Ian O'Connor, BS; Rohan Sampat; Laura Sonnylal, BS; James C Wittig, MD, FAAOS; Justin M Miller, DO; Justin M Miller, DO

Proximal femoral reconstruction is one of the many surgical techniques in an orthopaedic oncologist’s arsenal. Because of advancements in endoprosthetics that have occurred in the past few decades, hemipelvectomy or hip disarticulation with limb-sparing surgery can be avoided by using impeccable surgical technique in patients with primary sarcomas or bony metastases of the proximal femur. Renal cell carcinoma is one of the most common metastatic entities that occurs in the proximal femur. Given the relatively slow progression of disease, the ability to resect bony infiltration is paramount to a pain free life. Renal cell tumors have a propensity to bleed. This creates a challenge for surgeons attempting meticulous and precise surgical technique that results in a painless, stable outcome.