Hesler MC, Buya X, Catena V, et al. - In this investigation involving all patients (n= 129) who had percutaneous cementoplasty of the acetabulum (PCA) in a comprehensive cancer center for an acetabular metastasis between January 2008 and December 2015, researchers assessed the clinical, radiological and periprocedural features related to the occurrence or worsening of acetabular fracture (OWAF) after PCA in cancer patients. An initial articular fracture was observed in 18 of 140 patients. In 12/140 PCA, intra-articular cement leakage (IACL) was noted. A preexisting articular fracture was the only peculiarity correlated with IACL. Eighteen of the 111 individuals with imaging follow-ups exhibited OWAF. The presence of cement filling (even incomplete) of all acetabular metastatic locations was the only characteristic auspicious of OWAF-free survival. Thus, in all areas influenced by acetabular metastases, injecting cement could limit OWAF. Since survival following PCA is not negligible, it could help to maintain the quality of life of patients by completing an inadequate first PCA.