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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 442-446
DOI: 10.1055/s-0040-1716435
Case Report

Possible Novel Treatment Modality for Non Ossifying Fibroma Neck of Femur

Mohammed Alam Parwaz
1   Department of Plastic and Reconstructive Surgery, Army Hospital Research and Referral, Delhi Cantt. New Delhi, India
,
Tarun Chaudhary
1   Department of Plastic and Reconstructive Surgery, Army Hospital Research and Referral, Delhi Cantt. New Delhi, India
,
Suraj Bansal
2   Department of Orthopaedics, 7 Airforce Hospital, Kanpur Cantt. Uttar Pradesh, India
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Abstract

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.

Keywords

Nonossifying fibroma - free fibula - vascularized bone graft


Publication History

Article published online:
07 September 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 4 Betsy M, Kupersmith LM, Springfield DS. Metaphyseal fibrous defects. J Am Acad Orthop Surg 2004; 12 (02) 89-95
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 6 Kumar R, Madewell JE, Lindell MM, Swischuk LE. Fibrous lesions of bones. Radiographics 1990; 10 (02) 237-256
    CrossrefPubMedGoogle Scholar
  • 7 Gilbert A. Free vascularized bone grafts. Int Surg 1981; 66 (01) 27-31
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar