Figure 22. Blade plate that transfixes the humerus in a patient with a pathologic fracture from renal cell carcinoma metastasis. Frontal radiograph shows multiple metallic embolization coils and polymethylmethacrylate cement at the proximal humeral metaphyseal fracture site. A blade plate with multiple cortical screws and an additional low-contact DCP with screws that was placed intramedullary transfix the fracture site. Peripherally inserted vascular catheter overlies the medial upper arm.