Introduction: Surgical management of metastatic lesions of the femur reduce pain and improve mobility. Reconstruction for periacetabular metastatic lesions presents a surgical challenge.

Methods: Results of reconstruction of the ileum for supra-acetabular metastatic destruction using antegrade pins and cemented acetabular components are presented. From 1998 to 2005, 25 patients underwent acetabular reconstruction. Age range: 44 to 83 years, mean of 65 years. The most common diagnosis was breast carcinoma (n=10).

Results: Surgery reduced analgesia requirement and improved mobility. There was one revision, two pin breakages and one loose pin removed. The remaining patients have not required revision of the reconstruction.

Discussion: Acetabular reconstruction offers an effective and long lasting method of relieving pain and restoring mobility in patients with metastatic disease. Patient selection requires close liaison with oncologists and consideration must be given to life expectancy of the individual.