[Hydatid disease of the femoral shaft treated with surgery and hypertonic solution wash-out combined with albendazole].
We report a case of pathological fracture of the femoral shaft in a patient presenting a diaphyseal hydatid cyst. Surgical treatment consisted in wide resection followed by washout using a 20% hypertonic saline solution and nail plate fixation. Albendazole was given as adjuvant treatment. Postoperatively, the patient developed rhabdomyolysis with local superinfected necrosis which required early revision to remove the material. At twenty-two months, the local and general course was satisfactory. The pathological fracture healed and no secondary localization could be identified. Echinococcosis serology remained negative. The surgery-hypertonic solution-albendazole combination appears to be an attractive therapeutic solution for bone hydatid disease.
Winter
M
M
Service d'Orthopédie-Traumatologie, Hôpital St-Roch, Nice.
Jacquot
N
N
Balaguer
T
T
de Peretti
F
F
D000293:Adolescent; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001858:Bone Nails; D001860:Bone Plates; D004443:Echinococcosis / Q000150:complications*; D005260:Female; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery*; D005269:Femur / Q000469:parasitology / Q000473:pathology; D006801:Humans; D009336:Necrosis; D012206:Rhabdomyolysis / Q000209:etiology; D012462:Saline Solution, Hypertonic
D000871:Anthelmintics; D012462:Saline Solution, Hypertonic; D015766:Albendazole