Surgical treatment of benign lesions and pathologic fractures of the proximal femur in children

Abstract

Purpose: Benign lesions of the proximal femur region, such as simple bone cysts, aneurysmal bone cysts, and fibrous dysplasia, are common in children. Benign lesions may cause pathologic fractures, limb length inequities, and growth disturbances. Differential diagnoses, e.g., malignant bone tumors and osteomyelitis, are sometimes difficult to rule out. Objective: We aimed to evaluate outcomes in children with benign lesions of the proximal femur treated with curettage, bone grafting, and plate fixation. Methods: In this retrospective study, we included 30 children (median age 10.5 years; range 1.1–17.8 years) suffering from bone cysts and tumor-like lesions of the proximal femur region treat..