In 167 consecutive pathological or impending fractures of the hip
treated by endoprosthetic replacement from 1975 to 1978, there was dramatic
relief of pain in all patients. Either a long-stem femoral endoprosthesis
or a total prosthetic hip was used. The ambulatory status was significantly
enhanced in those patients who were able to walk but it was not in the
gravely ill. Cementing the prosthesis allowed stabilization of the entire
femur as well as resection of diseased bone. The patients had a median
survival time of 5.6 months. There were no dislocations, instances of
loosening, or failures of the device, and the incidence of deep infection
was 1.2 per cent. If the anticipated life of the patient exceeds one month,
that constitutes an indication for prosthetic replacement for treatment of
a pathological or impending fracture of the hip.