Naslov
Cystic-like lesions of proximal femur associated with fractures in children and adolescents - diagnostic and therapeutic dilemma

Autori
Kubat, Ozren ; Šmigovec, Igor ; Đapić, Tomislav ; Antičević, Darko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
9th Central European Orthopaedic Congress Final Programme and Book of Abstracts / - Portorož, 2012, 39-39

Skup
9th Central European Orthopaedic Congress

Mjesto i datum
Portorož, Slovenija, 21.06.2012. - 23.06.2012

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Cystic-like lesions; fracture; proximal femur; children; adolescents

Sažetak
AIM: To report our experience in diagnosing and treating fractures of the proximal femur due to various cystic-like pathologic processes. METHODS: In the period from 1998 to 2011, thirteen male patients were diagnosed and treated for a pathologic fracture of the proximal femur. The median age of the patients at time of surgery was 13 years (range, 3 to 19). In 7 patients, diagnosis of the hip fracture led to the discovery of the underlying pathologic process. In the remaining 6 patients, the hip fracture occurred after the pathologic process of the bone was diagnosed. The diagnoses were as follows ; a simple bone cyst (7 patients), an aneuris matic bone cyst (1 patient), fibrous dysplasia (2 patients), Ewing sarcoma (2 patients) and chondrosarcoma (1 patient). RESULTS: Methods of fracture fixation included plates and screws, Kirschner wires, intramedullary rodding, and external fixators. Two patients with Ewing sarcoma had a resection followed by insertion of endoprostheses. Two patients, one suffering from Ewing sarcoma and other from chondrosarcoma, died. All other patients were followed until union of fracture. No serious complications occurred. DISCUSSION: Various pathologic processes, benign as well as malignant, can present themselves as cystic-like lesions of the proximal femur. Although rare, it is important to consider all of these in differential diagnosis, due to potentially serious complications and even fatal outcome. Recognizing underlying pathology before a fracture occurs is a challenge for the orthopedic surgeon. The treatment of these fractures requires addressing the pathologic process that caused the fracture, and treating the fracture itself by various methods of fixation. Special considerations are required because of potential serious complications such as prolonged time to bone union, secondary leg length discrepancy and avascular necrosis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA