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العنوان
Results of treatment of proximal femur benign cystic lesions by curettage and autologous non vascularized fibular strut graft/
المؤلف
Fakih, Ali Rashid Ali.
هيئة الاعداد
مشرف / على راشد على فقيهي
مشرف / عوض عبد المنعم عبد الجليل رافالله
مشرف / سعيد محمد محمد شقيدف
مشرف / عوض عبد المنعم عبد الجليل رافالله
الموضوع
Orthopaedic Surgery. Traumatology.
تاريخ النشر
2022.
عدد الصفحات
P64. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب
تاريخ الإجازة
31/5/2022
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Orthopaedic Surgery and Traumatology
الفهرس
Only 14 pages are availabe for public view

from 75

from 75

Abstract

The proximal femur is a common site of benign cystic lesions in either tumor or tumor-like conditions. Common benign lesions include giant cell tumor, chondroblastoma, enchondroma, aneurysmal bone cyst (ABC), and simple bone cyst. Some of those lesions are discovered accidentally during radiological investigation for other purposes.
It usually arises in the metaphysis of long bones immediately beneath the growth plate and the most common location is proximal humerus followed by proximal femur as this area exhibits unique characters and complications.
Treatment of these lesions usually entails curettage, with or without the use of adjuvants to control local recurrence of some lesions. The resultant defect could be left to heal without refilling or it is filled with autogenous, allogenic, or synthetic bone graft with or without osteosynthesis.
The use of a plate or nail osteosynthesis after curettage might be challenging because of the lack of bone for proper purchase, and the risk of injuring the proximal femoral epiphysis in immature bone. Also, there exist the risks of infection, cut out, and the need for second surgery for removal of implants, especially in children.
Non vascularized autologous fibular strut graft acts as a mechanical as well as a biological graft. The hypothesis of this study is to add fixation by fibular strut graft which could help in immediate support, early consolidation of defect and remodeling.
The aim of this prospective study was to evaluate results of treatment of benign cystic lesion of p