Treatment of the femoral bone secondary deformation in the area of solitary bone cyst with spongeous cadaver homotransplant

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Abstract

This article presents a clinical example of treatment of a patient with secondary post-traumatic deformity of the proximal femur due to a solitary bone cyst.

The cyst cavity was filled with spongeous bone homograft LYO-57, which served as a substrate for a consistent bone regeneration. The quality of the formed bone made it possible to perform corrective osteotomy of the proximal femur with stable osteosynthesis for the secondary deformity.

The results of treatment allow us to recommend this type of homotransplant for the treatment of patients with solitary bone cysts.

About the authors

Nikita E. Likholatov

Samara State Medical University

Author for correspondence.
Email: n.e.liholatov1@samsmu.ru
ORCID iD: 0000-0002-6677-5277

post-graduate student of the Department of Traumatology, orthopaedics and emergency surgery n.a. academician of RAS A.F. Krasnov

Russian Federation, 89, Chapaevskaya st., Samara, 443099

Andrei V. Shmelkov

Samara State Medical University

Email: a.v.shmelkov@samsmu.ru
ORCID iD: 0000-0001-6900-0824

PhD, assistant of the Department of Traumatology, orthopaedics and emergency surgery n.a. academician of RAS A.F. Krasnov

Russian Federation, 89, Chapaevskaya st., Samara, 443099

Olga D. Bagdulina

Samara State Medical University

Email: o.d.bagdulina@samsmu.ru
ORCID iD: 0000-0003-1111-900X

post-graduate student of the Department of Traumatology, orthopaedics and emergency surgery n.a. academician of RAS A.F. Krasnov

Russian Federation, 89, Chapaevskaya st., Samara, 443099

Aleksandr S. Pankratov

Samara State Medical University

Email: a.s.pankratov@samsmu.ru
ORCID iD: 0000-0002-6031-4824

PhD, Associate professor of the Department of Traumatology, orthopaedics and emergency surgery n.a. academician of RAS A.F. Krasnov

Russian Federation, 89, Chapaevskaya st., Samara, 443099

References

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Supplementary files

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2. Figure 1. X-ray of the left hip joint of patient K., born in 2000, in direct projection, 2017. There are signs of a solitary bone cyst in the proximal femur (the borders are marked with arrows).

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3. Figure 2. Intraoperative radiograph of the left hip joint of patient K., born in 2000, 2018. There are signs of a basal fracture of the femur in the area of the solitary bone cyst, displacement of fragments with a tendency to varus deformity, NSA 86°. The cyst cavity is completely filled with homograft.

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4. Figure 3. Control radiograph of the left hip joint of patient K., born in 2000, 8 weeks after the injury. Consolidation of the fracture with the varus position of the fragments. Signs of homotransplant reorganization, regenerate formation in the area of bone grafting.

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5. Figure 4. X-ray of the pelvic bones involving the hip joints of patient K., born in 2000, 2021. Signs of remodeling of the homoplasty zone with integration of the formed bone into the general architectonics of the proximal femur. Varus deformity of the proximal femur with NSA 86°. There are signs of osteoarthritis.

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6. Figure 5. Control radiography of the left hip joint of patient K., born in 2000, after corrective osteotomy of the proximal femur with fixation with a plate and screws. NSA correction up to 125° is achieved.

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Copyright (c) 2022 Likholatov N.E., Shmelkov A.V., Bagdulina O.D., Pankratov A.S.

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