The modern surgical and non-surgical management of appendicular skeletal metastases

Bone is the third most common site of metastatic disease. The management of skeletal metastases has continued to evolve over recent years. There have been developments particularly in the oncologic field. This, in conjunction with a multi-disciplinary approach, has resulted in prolonged survival. Disease prognosis is an important consideration in the management of all patients with appendicular skeletal metastases. This review article covers both surgical and non-surgical management of skeletal metastases.