Trans-foveal approach for curettage and bone grafting of a giant cell tumour in the femoral head



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.

Case presentation

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




Hannes A. Rüdiger, Krzystof Piasecki, Fabio Becce, Stéphane Cherix

Article History


Financial support: None.
Conflict of interest: None.

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  • 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

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