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Treatment of tumor-like lesions in the femoral neck using free nonvascularized fibular autografts in pediatric patients before epiphyseal closure.
Luo, Shanchao; Jiang, Tongmeng; Yang, Xiaoping; Yang, Yingnian; Zhao, Jinmin.
Afiliación
  • Luo S; 1 Yulin Orthopedics Hospital of Chinese and Western Medicine, Yulin, China.
  • Jiang T; 2 Postdoctoral Innovation Practice Base, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, China.
  • Yang X; 3 Guangxi Engineering Center in Biomedical Materials for Tissue and Organ Regeneration & Guangxi Collaborative Innovation Center for Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning, China.
  • Yang Y; *These authors contributed equally to this work.
  • Zhao J; 3 Guangxi Engineering Center in Biomedical Materials for Tissue and Organ Regeneration & Guangxi Collaborative Innovation Center for Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning, China.
J Int Med Res ; 47(2): 823-835, 2019 Feb.
Article en En | MEDLINE | ID: mdl-30556444
OBJECTIVES: Surgical resection of benign bone tumors and tumor-like lesions at the femoral neck presents a difficult reconstructive challenge. However, the safety and efficacy of free nonvascularized fibular autografts (FNFAs) in the treatment of femoral neck tumor-like lesions before epiphyseal closure in young patients remain unknown. METHODS: Sixteen pediatric patients who had not yet undergone epiphyseal closure were treated with FNFAs after resection of tumor-like lesions in the femoral neck from August 2012 to September 2016. All patients underwent supplementary skeletal traction through the supracondylar femur for 4 to 6 weeks after resection. Demographic data were recorded and clinical and radiological outcomes were evaluated during the follow-up. RESULTS: All patients could walk with partial weight bearing 4 weeks postoperative, and full weight bearing was permitted after a mean of 8 weeks. Graft union was attained in all 16 patients at a mean of 2 months. The donor site of the fibular cortical strut showed good regeneration in all patients. The Harris hip score significantly improved from 65% to 95%. CONCLUSIONS: Application of an FNFA is a feasible method in the treatment of tumor-like lesions in the femoral neck before epiphyseal closure in pediatric patients. LEVEL OF EVIDENCE: Level IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Neoplasias Óseas / Procedimientos de Cirugía Plástica / Epífisis / Fracturas del Cuello Femoral / Peroné Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Int Med Res Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Neoplasias Óseas / Procedimientos de Cirugía Plástica / Epífisis / Fracturas del Cuello Femoral / Peroné Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: J Int Med Res Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido