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Surgical Technique: Management of a Pathological Fracture in the Femoral Neck: Case Report and Literature Review
Ali Hashem1, Zaid AlShammari, Ahmed Altuwaim
1From the Department of Orthopedics, King Saud Medical City (Dr. Hashem, Dr. AlShammari, and Dr. Altwaijri), and the Department of Orthopedics, Dr Sulaiman Alhabib Hospital, Riyadh, Saudi Arabia (Dr. Altuwaim).
Insights
Unicameral bone cysts (UBCs) in children require surgical intervention, especially in weight-bearing bones, to prevent fractures. This case report details surgical techniques for proximal femur UBCs in Saudi Arabia.
Area of Science:
- Orthopedic Surgery
- Pediatric Oncology
- Skeletal Biology
Background:
- Unicameral bone cysts (UBCs) are benign osteolytic lesions common in children and adolescents (4-14 years).
- These fluid-filled cavities are associated with skeletal growth and biomechanical stress, posing a fracture risk.
- Effective surgical management is vital for bone stability and functional outcomes, particularly in weight-bearing areas.
Purpose of the Study:
- To present a case report on the surgical management of proximal femur UBCs.
- To share surgical technique insights for managing UBCs in Riyadh, Saudi Arabia.
- To highlight the importance of growth and mechanical factors in benign bone lesion pathology.
Main Methods:
- Review of surgical management strategies for unicameral bone cysts.
- Focus on techniques like curettage and bone grafting for proximal femur lesions.
- Case presentation from Riyadh, Saudi Arabia, detailing surgical nuances.
Main Results:
- Surgical intervention aims to restore bone stability and prevent pathological fractures.
- Specific surgical tips are provided to aid in managing proximal femur UBCs.
- The study emphasizes the role of biomechanical factors in UBC development and treatment.
Conclusions:
- Surgical management of proximal femur UBCs is crucial for preventing fractures and ensuring long-term function.
- Sharing surgical techniques enhances the understanding and treatment of these benign bone lesions.
- Further insights into UBCs contribute to understanding skeletal growth and pathology.
Abstract:
The unicameral bone cyst (UBC) is a benign lesion that affects children and adolescents between 4 and 14 years of age. They are defined by an osteolytic cavity filled with serous fluid, enclosed by a thin fibrous membrane. Moreover, they are closely associated with skeletal growth and biomechanical stresses during development. Surgical management of UBCs is crucial, particularly in weight-bearing bones, to reduce the risk of pathological fractures and maintain structural stability. These surgical procedures (such as curretage and bone grafting) aim to restore bone stability, prevent recurrence, and enhance long-term functional outcomes. Studying UBCs provides insight into the natural history and behavior of benign bone lesions, emphasizing the importance of growth and mechanical factors in skeletal pathology. This case report seeks to present our experience in managing UBCs of the proximal femur in Riyadh, Saudi Arabia, focusing on the tips needed in the surgical technique that can aid surgeons in the management of such cases.
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