Treatment of benign pathological femoral neck or trochanteric lesions by using dynamic condylar screw or hip joint spanning external fixator
10.3760/cma.j.issn.1001-8050.2009.03.100
- VernacularTitle:动力髁螺钉或超关节外固定支架治疗股骨颈和转子良性病损病理性骨折
- Author:
Chunlin ZHANG
;
Bingfang ZENG
;
Yang DONG
- Publication Type:Journal Article
- Keywords:
Fractures,pathological;
Femoral fractures;
Femoral neck fractures;
External fixators;
Dynamic condylar screw
- From:
Chinese Journal of Trauma
2009;25(4):326-329
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate treatment method for existing and impending benign pathological femoral neck and trochanteric lesions.Methods A retrospective study wad done on 25 patients with benign proximal femur lesions treated between 2002 and 2004.All patients were treated with lesion curettage,cauterization,autografting and/or allografting.Then,dynamic condylar screw (DCS) or hip joint-span external fixator were selected according to the involved area of the lesion of the proximal femur.The duration of follow-up was mean 2.3 years (2-4 years).Results Sound bony union was seen on the radiographs of all patients by 3-6 months after surgery.There found no local recurrence or avascular necrosis of the femoral head,or complications like necrosis,infections or fractures.Function of the patients in the current series was graded excellent,assessed by the validated outcome measures MSTS-87,MSTS-93 and TESS lower extremity.Conclusion DCS or hip joint-span external fixator may be better alternative treatment of benign pathological femoral neck and trochanteric lesions,compared with conventional surgical methods such as simple bone grafting,traction and hip spica cast.
