Epiphyseal femoral tumour resection under intraosseous endoscopic control

We have resected 4 benign cystic femoral head tumours under intraosseous endoscopic control. The resections were completely extraarticular through a tunnel made in the femoral neck from the lateral cortex. The procedures were assessed endoscopically with the help of a standard arthroscope. With a mi...

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Bibliographic Details
Published in:Hip international 2010, Vol.20 Suppl 7 (Suppl. 7), p.S32-35
Main Authors: Torres-Eguía, Raúl J, Colmenero Rolón, Carlos A, Arauz De Robles, Santiago, Guillen García, Pedro
Format: Article
Language:English
Subjects:
Adult
Arthroscopy - methods
Bone Neoplasms - diagnosis
Bone Neoplasms - surgery
Epiphyses - surgery
Femur
Follow-Up Studies
Humans
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Young Adult
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Summary:We have resected 4 benign cystic femoral head tumours under intraosseous endoscopic control. The resections were completely extraarticular through a tunnel made in the femoral neck from the lateral cortex. The procedures were assessed endoscopically with the help of a standard arthroscope. With a minimum follow-up of 1 year (range 1-16 years), there were no recurrences. Mean age at time of surgery was 23 years (range 19-26 years). Only 1 (fibrous defect) needed prophylactic osteosynthesis with a dynamic hip screw. The lateral approach through a bone tunnel allows preservation of the joint. The creation of a wider tunnel (10-15 mm) avoids the need for an irrigation system, without debilitating the bone structure, and simplifies the surgical procedure.
ISSN:1120-7000
1724-6067
DOI:10.5301/HIP.2010.4469