Pathologic Fracture of Proximal Femur with Benign Bone Tumor / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 512-518, 2006.
Artículo
en Coreano
| WPRIM
| ID: wpr-646858
ABSTRACT
PURPOSE:
The treatment results for a proximal femur fracture caused by a benign bone lesion were evaluated. MATERIALS ANDMETHODS:
Nineteen patients (23 cases) who had been treated for proximal femur pathologic fracture from 1987 to 2002 were enrolled in this study. The mean follow-up duration was 40 months. The causes and treatments of the pathologic fractures and complications such as nonunion, deformity and recurrence were evaluated.RESULTS:
The benign bone lesions treated were fibrous dysplasia (15), simple bone cyst (3), aneurysmal bone cyst (2), giant cell tumor (2) and eosinophilic granuloma (1). An autograft (3), allograft (2), and both autograft and allograft (3) was performed after adjuvant curettage with a high-speed burr. There was no recurrence in these 8 cases. At the final course, internal fixation was performed in 18 cases (intramedullary nail (10), compressive hip screw (6), plate (1), screw (1)), a hip spica cast 3 cases and a THR 2 cases. Three cases where a hip spica cast had been performed showed a varus deformity. A refracture and deformity were prevented in 10 cases who underwent intramedullary nailing.CONCLUSION:
The IM nail is very effective in preventing complications such as a deformity, refracture after a treatment for polyostotic fibrous dysplasia. However, in a solitary benign bone lesion, bone graft and internal fixation is effective after thorough curettage.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recurrencia
/
Anomalías Congénitas
/
Quistes Óseos
/
Granuloma Eosinófilo
/
Estudios de Seguimiento
/
Trasplantes
/
Legrado
/
Fémur
/
Displasia Fibrosa Poliostótica
/
Aloinjertos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2006
Tipo del documento:
Artículo
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