Figure 3.

Preoperative X-ray (A) of a 56-year-old male with a history of recently diagnosed non-small-cell lung cancer (NSCLC) and a pathological bone fracture. After multidisciplinary evaluation, no other secondary tumor was found. Due to the fracture, the approach chosen was metastatic resection followed by intramedullary nail and acrylic bone cement (B). The conduct in the case of this patient was to carry out periodic imaging evaluations and to replace the nail if the local and general situation allowed a push-through modular component. Imaging evaluations performed at 12 months detected multiple metastases, so replacement with a modular component was abandoned.