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Department of Orthopaedic Surgery

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CASE 2:
Pathological fracture through a simple bone cyst of the trochanteric region of the right femur



PROBLEM

A 7 years old boy, with complaints of pain in the right thigh for the past one month, presented with sudden increase in pain and inability to walk following a trivial fall. Radiographs of the right hip showed a pathological fracture through a simple bone cyst of the trochanteric region of the right femur

Simple bone cyst, pathological fracture
Simple bone cyst, pathological fracture


TREATMENT

The cyst was curetted out, grafted with fibular graft taken from his right leg mixed with artificial bone and fixed with Austin- Moore pins. Post- operatively he was put on a plaster hip spica for two months

Curettage, bone grafting and fixation
Curettage, bone grafting and fixation


RESULT

The fracture united at 4 months and the bone cyst disappeared with complete consolidation of the bone graft. He is now walking without any support and is able to sit on the floor and squat. He does not have any pain.

Union at 4 months
Union at 4 months
Functional Result
Functional Result



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