Nakamura Tomoki, Matsumine Akihiko, Asanuma Kunihiro, Matsubara Takao, Sudo Akihiro
Department of Orthopaedic Surgery, Mie University Graduate School of Medicine Tsu Japan.
SICOT J. 2015 Jun 26;1:15. doi: 10.1051/sicotj/2015009.
The proximal femur is one of the most common locations for benign bone tumors and tumor like conditions. We describe the clinical outcomes of the surgical treatment of benign lesions of the proximal femur including femoral neck using compression hip screw and synthetic bone graft.
Thirteen patients with benign bone tumors or tumor like conditions of the proximal femur including femoral neck were surgically treated. Their average age at the time of presentation was 35 years and the average follow-up time was 76 months.
The average intraoperative blood loss was 1088 mL and intraoperative blood transfusion was required in eight patients. The average operative time was 167 minutes. All patients required one week and 12 weeks after surgery before full weight-bearing was allowed. All patients had regained full physical function without pain by the final follow-up. No patient sustained a pathological fracture of the femur following the procedure. All patients achieved partial or complete radiographic consolidation of the lesion within one year except one patient who developed a local tumor recurrence in 11 months. Post-operative superficial wound infection was observed in one patient, which resolved with intravenous antibiotics. Chronic hip pain was observed in one patient due to the irritation of tensor fascia lata muscle by the tube plate.
We suggest that the treatment of benign bone lesion of the proximal femur using compression hip screw and synthetic bone graft is a safe and effective method.
股骨近端是良性骨肿瘤及肿瘤样病变最常见的部位之一。我们描述了使用加压髋螺钉和人工骨移植手术治疗包括股骨颈在内的股骨近端良性病变的临床结果。
对13例包括股骨颈在内的股骨近端良性骨肿瘤或肿瘤样病变患者进行了手术治疗。他们就诊时的平均年龄为35岁，平均随访时间为76个月。
术中平均失血量为1088毫升，8例患者术中需要输血。平均手术时间为167分钟。所有患者术后分别需要1周和12周才能完全负重。到最终随访时，所有患者均恢复了完全的身体功能且无疼痛。术后无患者发生股骨病理性骨折。除1例患者在11个月时出现局部肿瘤复发外，所有患者在1年内均实现了病变的部分或完全影像学愈合。1例患者出现术后浅表伤口感染，经静脉使用抗生素后治愈。1例患者因管板刺激阔筋膜张肌而出现慢性髋部疼痛。
我们认为，使用加压髋螺钉和人工骨移植治疗股骨近端良性骨病变是一种安全有效的方法。
