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KMID : 0613320050110020111
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Journal of the Korean Bone and Joint Tumor Soceity
2005 Volume.11 No. 2 p.111 ~ p.117
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Femur Fractures Associated with Benign Bone Tumors in Children
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Jung Sung-Taek
Kim Byung-Soo
Moon Eun-Sun
Lee Keun-Bae
Seo Hyoung-Yeon
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Abstract
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Purpose: We evaluate the results of treatment of pathologic femur fractures secondary to bone tumors in children.
Materials and Methods: Between January 1995 and June 2004, 18 patients(20 cases) were evaluated. Their mean age of the first episode of fracture was 10.2 years and mean follow-up period is 42.5 months. Primary bone tumors, the location of fracture, time to union and complications were evauated.
Results: Fractures occurred at proximal portion in 14 cases, shaft 3 cases and distal portion 3 cases. The bone tumors causing pathologic fracture were fibrous dysplasia(9 c ases), simple bone cyst(4 cases), aneurysmal bone cyst(4 cases), nonossifying fibroma(2 cases) and eosinophilic granuloma(1 case). In the treatment for fractures, cast was in 11 cases, internal fixation 8 cases and external fixation in 1 case. In the treatment for tumors, observation was in 11 cases, curettage & bone graft in 8 cases and resection in 1 case. In polyostotic fibrous dysplasia, all cases were treated by cast initially but deformity developed in all cases. Fracture prevention and deformity correction were obtained with intramedullary nailing.
Conclusion: Adequate choice of treatment of bone tumor and fracture will result in good prognosis.
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KEYWORD
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Pathologic femur fracture, Bone tumor, Children
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