J Korean Fract Soc.  1992 Nov;5(2):394-399. 10.12671/jksf.1992.5.2.394.

The Treatment of Pathologic Troehanterie Fracture of the Femur by Solitary Bone Cyst in Children

• Ha SH
• Lee SH
• Lee BH

• KMID: 1944149
• DOI: http://doi.org/10.12671/jksf.1992.5.2.394

Abstract

Generally, pathologic fracture with solitary bone cyst was treated by plaster immobilization to stabilize the fracture site and there-after local steroid injection and curettage and bone graft in the remaining cyst. However, pathologic fracture involving weight bearing bone such as trochanter of the femur showed many complications : coxa, vara, avascular necrosis of femoral head, osteochondritis dissecans if they are treated by conservative method. We treated operatively for two unstable pathologic fractures of the trochanteric region of femur with large solitary bone cyst by primary curettage and autogenous bone graft with internal fixation and obtained satisfactory results.

Keyword

Solitary bone cyst; Pathologic fracture; Femur trochanter

MeSH Terms

Bone Cysts*
Child*
Curettage
Femur*
Fractures, Spontaneous
Head
Hip
Humans
Immobilization
Necrosis
Osteochondritis Dissecans
Transplants
Weight-Bearing