How successful is synthetic graft treatment for children with pathological hip fractures?

Serhat Elçi; Emin Özkul; Celil Alemdar; Ramazan Atiç; Mehmet Sait Akar

doi:10.1177/11207000231212423

How successful is synthetic graft treatment for children with pathological hip fractures?

Hip Int. 2023 Dec 25:11207000231212423. doi: 10.1177/11207000231212423. Online ahead of print.

Authors

Serhat Elçi¹, Emin Özkul², Celil Alemdar³, Ramazan Atiç², Mehmet Sait Akar²

Affiliations

¹ Department of Orthopaedics and Traumatology, Sultan Private Hospital, Diyarbakır, Turkey.
² Department of Orthopaedics and Traumatology, Dicle University Medical Faculty, Diyarbakir, Turkey.
³ Department of Orthopaedics and Traumatology, Medipol University Medical Faculty, Istanbul, Turkey.

PMID: 38146063
DOI: 10.1177/11207000231212423

Abstract

Purpose: To determine whether synthetic grafts are a satisfactory treatment option for pathological proximal femoral fractures in children.

Methods: Paediatric patients treated for pathological fractures of the proximal femur between 2013 and 2020 were evaluated retrospectively. 17 patients with a mean age of 10.7 years (range 6-16 years) were assessed. The definitive histopathological diagnoses were SBC (simple bone cyst) (12) and ABC (aneurysmal bone cyst) (5). The median duration of follow-up was 37 months (range 12-70 months).

Results: All patients returned to their normal daily routine within 3-8 months following surgery. The mean post-op recovery time was 3.2 months (range 3-6 months). Graft was incorporated at approximately 12 months. No significant radiographic healing was observed in 2 patients. In the remaining 15 patients, the mean duration of healing was 14 months (range 8-24 months).

Conclusion: Synthetic grafts are a satisfactory treatment option for pathological proximal femoral fractures in children.

Keywords: Children; pathological fracture; synthetic graft.