title: Trans-foveal approach for curettage and bone grafting of a giant cell tumour in the femoral head.
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.
  
  
  METHODS
  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.
authors.affiliation: Department of Orthopaedics, Schulthess Clinic, Zürich - Switzerland.|Department of Orthopaedics and Traumatology, Lausanne University Hospital (CHUV), Lausanne - Switzerland.
authors.forename: Hannes A
authors.initials: HA
authors.lastname: Rüdiger
authors.affiliation: Department of Orthopaedics and Traumatology, Lausanne University Hospital (CHUV), Lausanne - Switzerland.
authors.forename: Krzystof
authors.initials: K
authors.lastname: Piasecki
authors.affiliation: Department of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV), Lausanne - Switzerland.
authors.forename: Fabio
authors.initials: F
authors.lastname: Becce
authors.affiliation: Department of Orthopaedics and Traumatology, Lausanne University Hospital (CHUV), Lausanne - Switzerland.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Cherix
mesh_terms: D016025:Bone Transplantation; D003475:Curettage; D005260:Female; D005266:Femoral Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018212:Giant Cell Tumor of Bone / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D055815:Young Adult