Use of a Cannulated, Percutaneous Expandable Reamer for Physeal Sparing Excision of a Femoral Head Chondroblastoma.
Citation: JAAOS: Global Research and Reviews. 7(9), 2023 09 01.PMID: 37703503Institution: MedStar Franklin Square Medical CenterForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Bone Neoplasms | *Chondroblastoma | *Hip Dislocation | Bone Neoplasms/dg [Diagnostic Imaging] | Bone Neoplasms/su [Surgery] | Child | Chondroblastoma/dg [Diagnostic Imaging] | Chondroblastoma/su [Surgery] | Femur Head/su [Surgery] | Growth Plate/su [Surgery] | Humans | Male | Year: 2023ISSN:- 2474-7661
- Aboulafia, Albert J:
- https://orcid.org/0000-0002-1211-9506
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 37703503 | Available | 37703503 |
The treatment of chondroblastoma in the epiphysis of the femoral head in skeletally immature individuals is challenging and often requires surgical hip dislocation. We present a unique method of percutaneous use of an expandable reamer (X-REAM, Wright Medical) to treat a chondroblastoma of the femoral head in a 9-year-old boy without requiring surgical hip dislocation. The described technique provides access to the tumor in the proximal femoral epiphysis and local tumor control. However, the approach involves placing a cannula through the epiphyseal plate, resulting in partial premature epiphyseal closure. At 5 years after surgery, the patient has an asymptomatic leg-length discrepancy and radiographic evidence of premature physeal closure, but no restrictions on activity or evidence of local recurrence. A percutaneous expandable reamer can be used to treat chondroblastoma of the femoral head while avoiding surgical hip dislocation. Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
English