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 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.
Hip Unit, Clínica CEMTRO, Madrid, Spain. torrestrauma@yahoo.es
Raúl J
RJ
Torres-Eguía
Carlos A
CA
Colmenero Rolón
Santiago
S
Arauz De Robles
Pedro
P
Guillen García
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D004838:Epiphyses / Q000601:surgery; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D055815:Young Adult