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BACKGROUND There is little conformity regarding the surgical treatment of metastasis of the proximal femur, especially in palliative patients with limited life expectancy. PATIENTS AND METHODS En-bloc resection of secondary bone malignancies of the proximal femur and reconstruction by modular arthroplasty was performed in a consecutive series of 45 patients. The mean follow-up period was 16.4 months (0.6-74.7). RESULTS The survival rate of all patients was 6.6% (95% CI 0-14.9) at 74.7 months. There was no significant difference in patien