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.
Hip Int 2016; 26(6): 612 - 614
Article Type: SURGICAL TECHNIQUE
AuthorsHannes A. Rüdiger, Krzystof Piasecki, Fabio Becce, Stéphane Cherix
- • Accepted on 12/04/2016
- • Available online on 22/09/2016
- • Published in print on 10/11/2016
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- Rüdiger, Hannes A. [PubMed] [Google Scholar] 1, 2, * Corresponding Author (Hannes.Ruediger@kws.ch)
- Piasecki, Krzystof [PubMed] [Google Scholar] 2
- Becce, Fabio [PubMed] [Google Scholar] 3
- Cherix, Stéphane [PubMed] [Google Scholar] 2
Department of Orthopaedics, Schulthess Clinic, Zürich - Switzerland
Department of Orthopaedics and Traumatology, Lausanne University Hospital (CHUV), Lausanne - Switzerland
Department of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV), Lausanne - Switzerland