Abstract
It is almost axiomatic, and widely considered the standard of care, that prophylactic stabilization of a long bone include the entire bone in the setting of metastatic bone disease. Many of these patients have life expectancies measured in months, and the thought that a patient could come back after a major procedure like preventative internal fixation with a pathological fracture distal to the fixation device is a risk that many surgeons just do not want to take.
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