Osteoid osteoma of calcar of femur in child: prophylactic fixation using PHILOS and excision

Jain, Mantu; Doki, Sunil; Pradhan, Sangram K.; Panda, Sashikanta

doi:10.1136/bcr-2020-235073

Cited by 3 publications

(3 citation statements)

References 14 publications

(2 reference statements)

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“…Jain M et al reported two similar cases treated similarly with similar outcomes; however, his patients were younger, and he used PHILOS for prophylactic fixation without using a bone graft [16] . Because of the large size of the excised block, we used an autologous tricortical bone graft to enhance the chances of healing and accelerate the rehabilitation.…”

Section: Discussionmentioning

confidence: 96%

Successful en-bloc excision for recurrent femoral osteoid osteoma: The use in modern era

Mhana¹,

Diri²,

Halloum³

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 96%

Successful en-bloc excision for recurrent femoral osteoid osteoma: The use in modern era

Mhana¹,

Diri²,

Halloum³

et al. 2023

International Journal of Surgery Case Reports

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“…Adequate healing of the fracture was subsequently achieved at the end of the sixth month. In another study, excision of an osteoid osteoma and prophylactic fixation with PHILOS ® plates were performed in two patients for treatment of an osteoid osteoma of the calcar femorale 42) . The only case series found in the literature regarding the treatment of pediatric SFFs with adult PHLPs was reported by Gogna et al 15) ; eight patients were followed for a mean period of 32 months, the mean time to union was 8.75 weeks, and the mean HHS was 80.25.…”

Section: Discussionmentioning

confidence: 99%

Adult Proximal Humeral Locking Plate Is a Good Alternative Option in the Treatment of Adolescent Subtrochanteric Femur Fractures: A Case Series and Literature Review

et al. 2022

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Purpose Management of pediatric subtrochanteric femur fractures (SFFs) is difficult. The aim of this study was to evaluate the outcomes of adolescent SFFs treated with adult proximal humeral locking plates (PHLPs). Materials and Methods A retrospective analysis of 18 adolescents (11 male, 7 female) with a diagnosis of SFF who underwent internal fixation with a PHLP was conducted. Data regarding injury mechanism, fracture pattern, and time to union were recorded for all patients. In addition, a clinical and functional evaluation of patients was performed using the Harris hip score (HHS), Iowa hip score (IHS), modified Merle d’Aubigne-Postel score (MMAPS), Flynn criteria, and hip range of motion (ROM). Results The mean age of the patients was 12.72±2.05 years (range, 10-16 years). Radiological observation was performed for evaluation of five different injury mechanisms and different fracture patterns in patients. The mean postoperative HHS was 92.27±5.61, the mean IHS was 90.88±6.46, and the mean MMAPS was 17.22±0.94. According to the Flynn criteria, excellent results were achieved in 14 cases and satisfactory results were obtained in four cases. Measurements of the patients’ mean hip ROM values were as follows: 17.77±3.52° in extension, 115.27±6.74° in flexion, 43.05±3.48° in abduction, 27.50±4.28° in adduction, 42.22±4.60° in internal rotation, and 42.22±3.91° in external rotation. Conclusion Surgery performed on adolescent patients using an adult PHLP showed good, safe results. Therefore, it should be considered as an alternative option.

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“…Open surgical curettage can accurately curettage tumor nidus and obtain pathological results. At the same time, it can be given selectively according to the size of lesions to prevent the occurrence of postoperative bone related complications ( 21 ). Up to now, there is still no unified standard for the clinical treatment of proximal femoral OO.…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Proximal Femur: Pitfalls in Diagnosis and Performance of Open Surgical Resection

Zeng

Tong

et al. 2022

Front. Surg.

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AimsProximal femoral osteoid osteoma (OO) is extremely easy to be misdiagnosed or missed. The purpose of this study was to retrospectively analyze the clinical data of patients with proximal femoral OO in order to determine the clinical manifestation and imaging characteristics of the disease, so as to provide help for the preoperative diagnosis and clinical treatment of proximal femoral OO.MethodsThis was a retrospective study involving 35 patients with proximal femoral OO admitted into our hospital from January 2015 to January 2021. The baseline characteristics of the participants included; 24 males and 11 females, aged between 13 and 25 (mean 16.2) years old, and the course of the disease was 1 to 14 (mean 6.3) months. We used previous medical experience records of the patients to analyze for the causes of misdiagnosis. Moreover, we compared the difference between preoperative and postoperative treatment practices in alleviating pain in OO patients and restoring hip function. Follow-ups were carried out regularly, and patients advised to avoid strenuous exercises for 3 months.ResultsWe followed up 35 patients (25 intercortical, 4 sub-periosteal, and 6 medullary) for an average of 41.4 months. We found that 15 patients (42.9%) had been misdiagnosed of synovitis, perthes disease, osteomyelitis, intra-articular infection, joint tuberculosis and hip impingement syndrome, whose average time from symptoms to diagnosis were 6.3 months. Postoperative pain score and joint function score improved significantly compared with preoperative, and complications were rare.ConclusionOpen surgical resection constitutes an effective treatment for proximal femoral OO by accurately and completely removing the nidus. Wrong choice of examination, and the complexity and diversity of clinical manifestations constitutes the main reasons for the misdiagnosis of proximal femoral OO.

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Osteoid osteoma of calcar of femur in child: prophylactic fixation using PHILOS and excision

Cited by 3 publications

References 14 publications

Successful en-bloc excision for recurrent femoral osteoid osteoma: The use in modern era

Successful en-bloc excision for recurrent femoral osteoid osteoma: The use in modern era

Adult Proximal Humeral Locking Plate Is a Good Alternative Option in the Treatment of Adolescent Subtrochanteric Femur Fractures: A Case Series and Literature Review

Osteoid Osteoma of the Proximal Femur: Pitfalls in Diagnosis and Performance of Open Surgical Resection

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