title: Use of a fibular allograft strut in the treatment of benign lesions of the proximal femur.
abstract: Fifteen patients with a benign lesion of the proximal femur were surgically treated with augmented intralesional curettage and bone grafting using an allogenic fibular strut graft in conjunction with internal fixation with a sliding hip screw. Mean age was 26 years (range, 13-46 years). Patients were followed up for a mean of 30 months (range, 7-110 months). Clinical results were assessed using the functional-evaluation-of-reconstruction procedures described by the Musculoskeletal Tumor Society. Radiographic outcomes were assessed by comparing preoperative radiographs with radiographs taken at the most recent follow-up. Clinical results were excellent in all patients. Radiographic assessment of the patients showed no evidence of recurrent tumor, fracture, or graft resorption at the most recent follow-up. This method of treatment leads to excellent functional results and lessens the morbidity associated with autograft harvest.
authors.affiliation: Alabama Sports Medicine and Orthopaedics Center, HealthSouth, Birmingham, USA.
authors.forename: Kenneth Aaron
authors.initials: KA
authors.lastname: Jaffe
authors.forename: Eric Paul
authors.initials: EP
authors.lastname: Launer
authors.forename: Brian Michael
authors.initials: BM
authors.lastname: Scholl
mesh_terms: D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D001863:Bone Screws; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D005270:Femur Head / Q000473:pathology / Q000601:surgery*; D005272:Femur Neck / Q000473:pathology / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome