Parwaz Mohammed Alam, Chaudhary Tarun, Bansal Suraj
Department of Plastic and Reconstructive Surgery, Army Hospital Research and Referral, Delhi Cantt. New Delhi, India.
Department of Orthopaedics, 7 Airforce Hospital, Kanpur Cantt. Uttar Pradesh, India.
Indian J Plast Surg. 2020 Dec;53(3):442-446. doi: 10.1055/s-0040-1716435. Epub 2020 Sep 7.
Nonossifying fibromas (NOFs) are benign bone tumors occurring in the second decade of life. Most of the NOFs are diagnosed incidentally on the basis of its presentation on plain radiographs where they typically appear as small, cortical osteolytic lesions with sclerotic margin. They are mostly asymptomatic but can result in pathologic fractures if the lesion involves more than 50% of bone diameter. They are mostly treated with curettage and bone grafting. But in challenging situations where the classical surgery has failed or there is impending fracture of the neck of femur, bone structural support is needed. We are discussing two cases diagnosed as NOFs of intracapsular femoral neck. Both cases underwent curettage of tumor followed by free vascularized fibular graft. Results in both the cases were very gratifying, with complete resolution of symptoms during 1 year of follow-up.
非骨化性纤维瘤（NOFs）是发生于生命第二个十年的良性骨肿瘤。大多数非骨化性纤维瘤是在X线平片上偶然发现的，典型表现为小的、皮质骨溶解性病变，边缘硬化。它们大多无症状，但如果病变累及超过50%的骨直径，可能会导致病理性骨折。它们大多采用刮除术和骨移植治疗。但在传统手术失败或股骨颈即将骨折的具有挑战性的情况下，需要骨结构支撑。我们正在讨论两例被诊断为股骨颈囊内非骨化性纤维瘤的病例。两例均接受了肿瘤刮除术，随后进行了游离血管腓骨移植。两例的结果都非常令人满意，在1年的随访期间症状完全消失。
