WE7.8 Neck of Femur Fractures with Co-existent History of Malignancy: Do Full-length Femur X-Rays Change Fixation Method?

Abstract Introduction In neck of femur (NOF) patients presenting with co-existent history malignancy, it is regarded as good practice to obtain pre-operative full-length X-Rays (FLF-XRs) identify metastatic disease distal the fracture site and aid operative planning. Whether availability FLF-XRs in trauma meeting influences surgeon's choice fixation method between intramedullary nail (IMN) or dynamic hip screw (DHS), unclear. Methods We performed a retrospective analysis all NOFs that underwent surgical at major London hospital over 3-year period (2018–20), collected data on any FLF-XR status (IMN vs DHS). Our results showed 308 extracapsular during this time period, 23% had these, 55% undergone FLF-XRs. Ca who were more likely undergo IMN than DHS statistically significant degree (p<0.05) those did not, despite only 3% these radiographs demonstrating femoral metastases. Results The findings preliminary audit raise questions around value particularly if opted for majority cases normal radiographs. next phase study establish whether IMN/DHS fixation, without FLF-XRs, amongst cohort correlate better worse complication rates.