Role of impaction bone grafting of allografts in the management of benign lesions of the proximal femur

Objective:The aim of this study was to present the mid-term outcomes and treatment management of benign and benign aggressive lesions of the femoral head and neck treated surgically in pediatric and adult patients.Methods: A total of 27 patients who underwent surgical treatment for benign tumors and tumor-like lesions of the femoral neck and head were retrospectively analyzed. Patients were evaluated according to age, gender, diagnosis, follow-up period, lesion location, surgical method, complications, and recurrence development. Functional evaluation was performed using the Musculoskeletal Tumor Society (MSTS) and Toronto extremity salvage score (TESS). Early and late complications, such as infection, wound site issues, physeal injury, avascular necrosis (AVN), non-union, malunion, fracture, and implant failure, were investigated. Results:The average age was 26 years (range, 8-54 years), and the follow-up period was 74 months (49-108). In 24 patients (89%), the tumor was located in the femoral neck, whereas in 3 patients (11%), it was located in the femoral head. The most common diagnosis was simple bone cysts (33.3%), and the most frequently applied surgical method was curettage + grafting + internal fixation (C + G + IF) (51.8%). The mean MSTS score was 84% (range, 50-100), and the mean TESS score was 96.1 (range, 75-100). Conclusion:Hip-preserving approaches are important for functional outcomes in the treatment of lesions observed in the proximal femur. Attention should be paid to the nutrient arterial structures to prevent complications such as non-union and AVN. These rare tumoral formations should be considered in patients presenting with pain and limping.

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Role of impaction bone grafting of allografts in the management of benign lesions of the proximal femur

Cited by 2 publications

References 21 publications

Is Intraoperative CT Navigation feasible for excision of osteoid osteoma in the appendicular skeleton? – Retrospective analysis of 58 cases

Is Intraoperative CT Navigation feasible for excision of osteoid osteoma in the appendicular skeleton? – Retrospective analysis of 58 cases

Benign and Benign Aggressive Bone Lesions Located in the Femoral Head and Neck: Single-center Experience

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