Rüdiger Hannes A, Piasecki Krzystof, Becce Fabio, Cherix Stéphane
Department of Orthopaedics, Schulthess Clinic, Zürich - Switzerland.
Department of Orthopaedics and Traumatology, Lausanne University Hospital (CHUV), Lausanne - Switzerland.
Hip Int. 2016 Nov 10;26(6):612-614. doi: 10.5301/hipint.5000398. Epub 2016 Sep 22.
Surgical access to benign neoplastic lesions of the femoral head are associated with significant morbidity, including contamination of intra-osseous access tracks, articular cartilage lesions, avascular bone necrosis or tumour recurrence due to incomplete curettage.
We present a case of a 20-year-old female with a giant cell tumour in the femoral head, which was treated with curettage through a trans-foveal approach and bone grafting. This technique includes a surgical dislocation of the hip with trochanteric osteotomy.
At the latest follow-up at 2 years, there was no evidence of local recurrence or avascular necrosis on MRI, and the patient was pain free and back to sports.
手术治疗股骨头良性肿瘤性病变会导致显著的发病率，包括骨内手术通道污染、关节软骨损伤、缺血性骨坏死或因刮除不彻底导致肿瘤复发。
我们报告一例20岁女性股骨头巨细胞瘤患者，采用经小凹入路刮除及植骨治疗。该技术包括通过转子截骨进行髋关节手术脱位。
在2年的最新随访中，MRI检查未发现局部复发或缺血性坏死的迹象，患者无痛且恢复了运动。
