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Article in English | MEDLINE | ID: mdl-37703503

ABSTRACT

The treatment of chondroblastoma in the epiphysis of the femoral head in skeletally immature individuals is challenging and often requires surgical hip dislocation. We present a unique method of percutaneous use of an expandable reamer (X-REAM, Wright Medical) to treat a chondroblastoma of the femoral head in a 9-year-old boy without requiring surgical hip dislocation. The described technique provides access to the tumor in the proximal femoral epiphysis and local tumor control. However, the approach involves placing a cannula through the epiphyseal plate, resulting in partial premature epiphyseal closure. At 5 years after surgery, the patient has an asymptomatic leg-length discrepancy and radiographic evidence of premature physeal closure, but no restrictions on activity or evidence of local recurrence. A percutaneous expandable reamer can be used to treat chondroblastoma of the femoral head while avoiding surgical hip dislocation.


Subject(s)
Bone Neoplasms , Chondroblastoma , Hip Dislocation , Male , Humans , Child , Growth Plate/surgery , Femur Head/surgery , Chondroblastoma/diagnostic imaging , Chondroblastoma/surgery , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/surgery
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