Possible Novel Treatment Modality for Non Ossifying Fibroma Neck of FemurSource(s) of Support Nil
Nonossifying fibromas (NOFs) are benign bone tumors occurring in the second decade of life. Most of the NOFs are diagnosed incidentally on the basis of its presentation on plain radiographs where they typically appear as small, cortical osteolytic lesions with sclerotic margin. They are mostly asymptomatic but can result in pathologic fractures if the lesion involves more than 50% of bone diameter. They are mostly treated with curettage and bone grafting. But in challenging situations where the classical surgery has failed or there is impending fracture of the neck of femur, bone structural support is needed. We are discussing two cases diagnosed as NOFs of intracapsular femoral neck. Both cases underwent curettage of tumor followed by free vascularized fibular graft. Results in both the cases were very gratifying, with complete resolution of symptoms during 1 year of follow-up.
07 September 2020 (online)
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
- 1 Goldin A, Muzykewicz DA, Dwek J, Mubarak SJ. The aetiology of the non-ossifying fibroma of the distal femur and its relationship to the surrounding soft tissues. J Child Orthop 2017; 11 (05) 373-379
- 2 Arata MA, Peterson HA, Dahlin DC. Pathological fractures through non-ossifying fibromas. review of the Mayo Clinic experience. J Bone Joint Surg Am 1981; 63 (06) 980-988
- 3 Ritschl P, Karnel F, Hajek P. Fibrous metaphyseal defects–determination of their origin and natural history using a radiomorphological study. Skeletal Radiol 1988; 17 (01) 8-15
- 4 Betsy M, Kupersmith LM, Springfield DS. Metaphyseal fibrous defects. J Am Acad Orthop Surg 2004; 12 (02) 89-95
- 5 Havitçioğlu H, Biçen Ç, Hapa O, Balcı A. Treatment of intracapsular femoral neck lesions: aggressive or conservative surgery?. Musculoskelet Surg 2014; 98 (03) 251-254
- 6 Kumar R, Madewell JE, Lindell MM, Swischuk LE. Fibrous lesions of bones. Radiographics 1990; 10 (02) 237-256
- 7 Gilbert A. Free vascularized bone grafts. Int Surg 1981; 66 (01) 27-31
- 8 Korompilias AV, Lykissas MG, Beris AE, Urbaniak JR, Soucacos PN. Vascularised fibular graft in the management of femoral head osteonecrosis: twenty years later. J Bone Joint Surg Br 2009; 91 (03) 287-293