Hoellwarth JS, et al. - Researchers investigated the rate of reoperation following surgical stabilization of malignant pathologic humerus fracture (MPHF) with three techniques – photodynamic bone stabilization (PBS), intramedullary nail (IMN), and cemented plate fixation (CPF). Further, they estimated the extent to which improved implant durability might prevent reoperation. Retrospective data collection led to the recognition of 105 procedures (100 patients) who underwent non-articular MPHF surgery from 2010–2016: 19 PBS, 65 IMN, 21 CPF. The analysis revealed a similar reoperation rate at all time points. However, the lowest rate of broken implants (zero) were observed with IMN surgery, which was statistically significant vs PBS at all time periods and vs CPF at final follow-up. PBS may ultimately offer selected advantages for MPHF management, but current data emphasize thoughtfully considering fragility.