Intramedullary Nailing Combined with Bone Grafting for Benign Lesions of the Proximal Femur

Zhang, Yan; Li, Jiazhen; Lu, Xin; Zhang, Yi; Zhang, Huaishuan; Shi, Hong; Feng, Guang; Fu, Wei‐ping

doi:10.1111/os.12311

Cited by 10 publications

(8 citation statements)

References 28 publications

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“…In our study, we used DBM, which has recently served as a bone substitute in many orthopaedic fields with favourable results. 14 Some studies reported deep vein thrombosis from the allogeneic bone treatment of UBCs; 15 however, in our study, there were no thrombosis complications. Although the detailed mechanism needs more study, our method showed high healing rates with low recurrence of pathological fractures caused by UBC.…”

Section: Discussioncontrasting

confidence: 57%

“…Many studies focused on different fixation methods depending on the location of the UBC lesion. 4 , 15 , 20 Pathological fractures associated with UBCs in the proximal femur are often accompanied by malunion, growth arrest, coxa vara, coxa valga and avascular necrosis. In this study, we used ESIN combined with DBM for the treatment of UBCs in the proximal femur.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of immediate and delayed surgery for pathological fracture due to unicameral bone cysts in children

Chen

2020

Journal of Children's Orthopaedics

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Purpose Unicameral bone cysts (UBCs) are most often found when accompanied by a pathological fracture. In these cases, the doctor must determine the optimal timing for the surgery. The purpose of this study was to evaluate the outcome of immediate surgery as compared with delayed surgery in paediatric pathological fractures due to UBCs. Methods This retrospective study assessed the medical records of 65 patients between January 2012 and September 2016. Group A included 34 patients who underwent immediate surgery, including curettage, demineralized bone matrix and fixation with elastic stable intramedullary nailing. Group B included 31 patients who underwent the same surgery several months later. The outcome evaluations included the radiological changes, brace fixation time, cyst healing time, at the first-, third- and sixth month, and final visit. Results The mean brace fixation time was 26.3 days (sd 5.7) for group A and 53.8 days (sd .1) for group B (p = 0.012). According to radiological evaluations, 3/34 patients in group A and 5/31 in group B had recurrence after the first surgery. A second surgery was performed in all cases of recurrence, and all fractures were healed at the last visit. There was no significant difference in the recurrence rate between the two groups (p = 0.4631), and healing times were also similar (p = 0.6033). Conclusion Both the immediate and delayed surgery were safe for the treatment of UBCs with fractures. We suggest immediate surgery for shorter fixation time and early activity. Level of evidence IV

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Evaluation of immediate and delayed surgery for pathological fracture due to unicameral bone cysts in children

Chen

2020

Journal of Children's Orthopaedics

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“…Despite the potential complications that may arise, it has various benefits. As previously stated, HBOT often works well in conjunction with other treatments 91…”

Section: Resultsmentioning

confidence: 83%

Clinical utility of hyperbaric oxygen therapy in dentistry

Patel

Gandhi

et al. 2019

Med Gas Res

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This fuller impact of the use of hyperbaric oxygen therapy within dentistry is taking greater notice with newer research findings. There are new advancements in research regarding postradiotherapy cases, osteonecrosis of the jaw, osteomyelitis, periodontal disease, and dental implants. Hyperbaric oxygen therapy can even be used in conjunction with other procedures such as bone grafting. Although the research and clinical utility has come a long way, there are several complications to be mindful of during the application of hyperbaric oxygen therapy.

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“…[18,19] Although fibular autografts achieved good effects, those effects came at the cost of damage to the donor site and its important normal structures. [20] Use of fibular autografts simultaneously increased operative complexity and operative time, which led to increased loss of blood and risk of infection. Therefore, we chose cortical strut allografts as the material of bone grafting.…”

Section: Discussionmentioning

confidence: 99%

Treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia using cortical strut allografts and internal plating

Zhang

Kang

et al. 2019

Medicine

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Children with fibrous dysplasia (FD) chronically suffer from pain, pathological fractures, and limb deformities. The most effective methods for managing the associated pathological fractures remain controversial. The purpose of this study was to evaluate the clinical results of the treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia (MFD) using cortical strut allografts and internal plating. We retrospectively analyzed outcomes in nine children (5 boys, 4 girls) with diaphyseal pathological fractures due to MFD, who were treated with cortical strut allografts and internal plating (6 femoral fractures and 3 humeral fractures) between July 2007 and November 2012. The median age of patients in our study was 10 years (range 6–14 years). The fracture healing time, pain, extremity function, refracture, graft resorption, and complications were recorded to evaluate treatment effects. The median time of follow-up was 69 months (range 60–75 months). All patients had good postoperative fracture healing with a median healing time of 14 weeks (range 12–16 weeks). None experienced refracture, graft resorption, nerve injury, or limitation of extremity function or other complications. The fixation remained stable in all patients, with no evidence of loosening screws after surgery. In pediatric patients, the described surgical approach is an effective and reliable treatment method for diaphyseal pathological fractures caused by MFD. Cortical strut allografts, which act as biological bone plates, can provide good mechanical support while increasing the rate of fracture union.

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Intramedullary Nailing Combined with Bone Grafting for Benign Lesions of the Proximal Femur

Abstract: Both treatments are effective for benign lesions in the proximal femur, but the fixation group facilitated the functional recovery of patients and reduced postoperative complications.

Cited by 10 publications

References 28 publications

Evaluation of immediate and delayed surgery for pathological fracture due to unicameral bone cysts in children

Evaluation of immediate and delayed surgery for pathological fracture due to unicameral bone cysts in children

Clinical utility of hyperbaric oxygen therapy in dentistry

Treatment of diaphyseal pathological fractures in children with monostotic fibrous dysplasia using cortical strut allografts and internal plating

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