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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 5, 648-651.
doi: 10.1302/0301-620X.90B5.20330  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts

B. George, MRCS, Orthopaedic Oncology Registrar1; A. Abudu, FRCS, Consultant Orthopaedic Oncology Surgeon1; R. J. Grimer, FRCS, Consultant Orthopaedic Oncology Surgeon1; S. R. Carter, FRCS, Consultant Orthopaedic Oncology Surgeon1; and R. M. Tillman, FRCS, Consultant Orthopaedic Oncology Surgeon1

1 The Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B31 2AP, UK.

Correspondence should be sent to Mr A. Abudu; e-mail: seggy.abudu{at}roh.nhs.uk

We report our experience of treating 17 patients with benign lesions of the proximal femur with non-vascularised, autologous fibular strut grafts, without osteosynthesis. The mean age of the patients at presentation was 16.5 years (5 to 33) and they were followed up for a mean of 2.9 years (0.4 to 19.5). Histological diagnoses included simple bone cyst, fibrous dysplasia, aneurysmal bone cysts and giant cell tumour. Local recurrence occurred in two patients (11.7%) and superficial wound infection, chronic hip pain and deep venous thrombosis occurred in three. Pathological fracture did not occur in any patient following the procedure.

We conclude that non-vascularised fibular strut grafts are a safe and satisfactory method of treating benign lesions of the proximal femur.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General