Free Vascularized Fibular Graft for Femoral Head Collapse Combined with Ununited Pathologic Intertrochanteric Fracture / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 174-179, 2018.
Article
in Korean
| WPRIM
| ID: wpr-714284
ABSTRACT
Surgery for pathologic hip fracture poses significant challenges regarding the fixation of fracture and management of the original tumor lesion. An extensive destruction of the femoral neck and intertrochanteric region by benign or malignant lesions complicated by a pathological fracture generally necessitates total hip arthroplasty; however, in adolescents and young adults, preservation of the hip is preferable. We present a 14-year-old female patient, who sustained a pathological intertrochanteric fracture through a pre-existing aneurysmal bone cyst. Several operative interventions with internal fixation and bone graft were unsuccessful, and combined nonunion and progression of osteolysis around the compression hip screw eventually caused femoral head collapse, mimicking osteonecrosis. Hip preservation and resolution of the original tumor were achieved by free vascularized fibular graft.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteolysis
/
Osteonecrosis
/
Bone Cysts
/
Arthroplasty, Replacement, Hip
/
Transplants
/
Femur Neck
/
Fractures, Spontaneous
/
Head
/
Hip
/
Aneurysm
Limits:
Adolescent
/
Female
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2018
Type:
Article
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