Zeng Jiayu,Liang Haohao,Du Jun,et al.Diagnosis and surgery of pathological proximal femoral fractures in children[J].Journal of Clinical Pediatric Surgery,,21():774-779.[doi:10.3760/cma.j.cn101785-202112029-013]
Diagnosis and surgery of pathological proximal femoral fractures in children
- Keywords:
- Femoral Fractures/SU; Bone Cysts/SU; Bone Cysts; Aneurysmal/SU; Treatment Outcome; Retrospective Studies
- Abstract:
- Objective To retrospectively review the surgical outcomes of 12 children of benign lesions of proximal femur with pathological fractures.Methods From May 2011 to October 2018,14 children of benign lesions of proximal femur with pathological fracture were reviewed.There were 6 boys and 6 girls with an average age of 8.9(5-14) years.Twelve cases were followed up and 2 cases became lost.All 12 cases were confirmed by postoperative pathology.The diagnoses included unilocular bone cyst (n=6),aneurysmal bone cyst (n=3),fibrous dysplasia (n=2) and Langerhans cell hyperplasia (n=1).The lesions were located in left proximal femur (n=5) and right proximal femur (n=7).Preoperative imaging examinations of computed tomography (CT) and magnetic resonance imaging (MRI) and related auxiliary examinations were performed.Surgical scopes and approaches were customized.Results The average follow-up period was (63.8±5.4)(48-78) months.One case recurred with a recurrence rate of 8.3%.Harris hip function score averaged (92.3±7.5) points.The outcome was excellent (n=10,83.3%),decent (n=2,16.7%),fair (n=0) and poor (n=0).The overall excellent/decent rate was 100%.The Musculoskeletal Tumor Society (MSTS) score of the last follow-up was higher than that of pre-operation[(27.17±1.75)vs.(13.08±1.56)].There was significant inter-group difference (P<0.05).Conclusion For children with benign osteopathy and pathological fracture of proximal femur,curettage and bone grafting plus internal fixation may remove lesion,promote bone growth,restore mechanical conduction of proximal femur and significantly improve extremity function and quality-of-life.
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Memo
收稿日期:2021-12-27。
通讯作者:姜华,Email:ykxu666@163.com