Trans-Foveal Approach for Curettage and Bone Grafting of a Giant Cell Tumour in the Femoral Head. Issue 6 (10th November 2016)

• Record Type: Journal Article
• Authors: Rüdiger, Hannes A.; Piasecki, Krzystof; Becce, Fabio; Cherix, Stéphane
• Is Part Of: Hip international. Volume 26:Issue 6(2016)
• Page Start: 612
• Page End: 614
• Publication Date: 2016-11-10
• Subjects: Giant cell tumour -- Femoral head -- Surgical dislocation -- Curettage -- Trapdoor -- Joint preservation; Hip joint -- Pathophysiology -- Periodicals; Hip joint -- Diseases -- Periodicals; Hip joint -- Surgery -- Periodicals; 617.581005
• DOI: 10.5301/hipint.5000398
• Languages: English
• ISSNs: 1120-7000

Abstract

Background: Surgical access to benign neoplastic lesions of the femoral head are associated with significant morbidity, including contamination of intra-osseous access tracks, articular cartilage lesions, avascular bone necrosis or tumour recurrence due to incomplete curettage. Case presentation: We present a case of a 20-year-old female with a giant cell tumour in the femoral head, which was treated with curettage through a trans-foveal approach and bone grafting. This technique includes a surgical dislocation of the hip with trochanteric osteotomy. Results: At the latest follow-up at 2 years, there was no evidence of local recurrence or avascular necrosis on MRI, and the patient was pain free and back to sports.