Hip Salvageable Surgery for an Extensive Aneurysmal Bone Cyst Complicated with Transcervical Neck of Femur Fracture

Abstract

Abstract:Aneurysmal bone cysts are enigmatic, locally destructive, blood filled lesions of bone with unknown cause and unusual presentations. We report a case of 16 year old female with aggressive aneurysmal bone cyst of proximal left femur complicated by transcervical fracture neck of femur. As the age of the patient was not suitable for replacement, a successful attempt was made to salvage the hip with intralesional curettage and fixation with 2 fibular struts and a cancellous hip screw. Femoral head is viable till date.

Total Hip Arthroplasty in a Patient With a Large Proximal Femur Aneurysmal Bone Cyst: A Case Report and Literature Review

“…The lesion grows rapidly and can progress to bone destruction during the active phase. Next, there is typically a period of stabilization with maturation of the bony shell, and lastly, the healing phase with progressive ossification of the lesion [ 4 ].…”

“…Despite the number of techniques reported in the literature, there remains a recurrence rate that ranges from 5% to greater than 40%. Currently, curettage and filling the cavity with bone cement or bone substitute is the primary treatment modality used [ 4 ]. While many forms of treatment exist, wide surgical resection is the only definite cure.…”

Bilateral Primary Aneurysmal Bone Cyst of Proximal Femur: A Rare Case Report

“…Bone scintigraphy shows hyper fixation and sometimes central hypofixation. It could be used to locate painful lesions sometimes such as spinal lesions in children [11]. Laboratory investigations usually do not reveal any abnormalities.…”

Proximal femur pathological fracture secondary to aneurysmal bone cyst in a child

“…The literature on pathological fractures of proximal femur in aneurysmal bone cyst in benign cases is limited. Only few case reports are there in literature with proximal femur ABC with fracture [9][10][11] .…”