Treatment of the benign bone tumors including femoral neck lesion using compression hip screw and synthetic bone graft

• Published in: SICOT-J Vol. 1; p. 15
• Main Authors: Nakamura, Tomoki, Matsumine, Akihiko, Asanuma, Kunihiro, Matsubara, Takao, Sudo, Akihiro
• Format: Journal Article
• Language: English
• Published: France EDP Sciences 01-01-2015
• Subjects: Benign bone tumor; Blood transfusions; Bone cancer; Cement; Clinical outcomes; Conflicts of interest; Defects; Fractures; Hip; Hip joint; Hydroxyapatite; Original; Pain; Patients; Proximal femur; Reinforcement; Skin & tissue grafts; Surgery; Treatment; Tumors; Japan; Benign bone tumor; Reinforcement; Treatment; Proximal femur
• ISSN: 2426-8887; 2426-8887
• DOI: 10.1051/sicotj/2015009

The proximal femur is one of the most common locations for benign bone tumors and tumor like conditions. We describe the clinical outcomes of the surgical treatment of benign lesions of the proximal femur including femoral neck using compression hip screw and synthetic bone graft.
Thirteen patients with benign bone tumors or tumor like conditions of the proximal femur including femoral neck were surgically treated. Their average age at the time of presentation was 35 years and the average follow-up time was 76 months.
The average intraoperative blood loss was 1088 mL and intraoperative blood transfusion was required in eight patients. The average operative time was 167 minutes. All patients required one week and 12 weeks after surgery before full weight-bearing was allowed. All patients had regained full physical function without pain by the final follow-up. No patient sustained a pathological fracture of the femur following the procedure. All patients achieved partial or complete radiographic consolidation of the lesion within one year except one patient who developed a local tumor recurrence in 11 months. Post-operative superficial wound infection was observed in one patient, which resolved with intravenous antibiotics. Chronic hip pain was observed in one patient due to the irritation of tensor fascia lata muscle by the tube plate.
We suggest that the treatment of benign bone lesion of the proximal femur using compression hip screw and synthetic bone graft is a safe and effective method.