ABSTRACT
A wide variety of malignancies, including carcinoma of the lung, breast, prostate thyroid and kidney, frequently metastasize to bone. Patient suffering pathological fracture secondary to these metastases are frequently referred to the orthopaedic surgeon for care and management. In such cases, operative intervention with rigid fixation and early ambulation offer much in terms of over-all patient management. One case of breast careinoma metastatic to right proximal femur, neck and femoral head of segmental resection and restoration by special segmental femoral prosthesis with Giliberty Bipolar Endoprosthesis was presented. This technique provides an effective means of restoring the structural integrity of proximal femur and of preserving physiologic function of the joint.