title: Aneurysmal Bone Cyst of the Proximal Femur and Its Management - A Case Report.
abstract: Aneurysmal bone cyst (ABC) is a benign, expansile, non-neoplastic lesion of the bone, characterized by channels of blood and spaces that are separated by fibrous septae. Giant ABC is an uncommon condition and can be difficult to handle because of the destructive effect of the cyst on the bones and the compressive effect on the nearby structures, especially in weight-bearing bones of the body. We report a case of a giant aneurysmal bone cyst in the proximal femur of a six-year-old child, which was treated with a sclerosing agent and ender's nail fixation first. There was recurrence after 13 months. It was then curetted out extensively, the cavity was filled with bone graft, and fixation with a dynamic hip screw (DHS) was done. At 19 months follow-up, the lesion had subsided and patient was walking pain-free without any deformity. We suggest this method of treatment to be worthwhile for ABC at this site and at this age.
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Chirag
authors.initials: C
authors.lastname: Kapoor
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Malkesh
authors.initials: M
authors.lastname: Shah
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Rishit
authors.initials: R
authors.lastname: Soni
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Jagdish
authors.initials: J
authors.lastname: Patwa
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Aditya
authors.initials: A
authors.lastname: Merh
authors.affiliation: Orthopaedics, Sumandeep Vidyapeeth, Vadodara, Gujarat.
authors.forename: Paresh
authors.initials: P
authors.lastname: Golwala
keywords: aneurysmal bone cyst; cyst; dhs; dynamic hip screw; ender's nail; sclerosing agent