Skip to main content
Figure 1 | World Journal of Surgical Oncology

Figure 1

From: Use of extended curettage with osteotomy and fenestration followed by reconstruction with conservation of muscle insertion in the treatment of Enneking stage II locally aggressive bone tumor of the proximal extremities: resection and treatment of bone tumors

Figure 1

Male patient, 19 years old with an aneurysmal bone cyst of the right proximal femur. (A) Presurgical X-ray and computed tomography scan showing expansive cystic change in lesions in the right proximal femur, characterized by bony partition and thinning bone cortex. Presurgical magnetic resonance imaging indicates that lesions exhibit unequal signal intensities with lobular changes. (B) Sketch map of presurgical osteotomy line with osteotomy line (red) showing the greater trochanteric osteotomy and conserved insertion of the gluteus medius and minimus muscles. (C) Intraoperative cauterization using an argon gas knife, anhydrous ethanol immersion, mixed bone graft with autogenous bone, and artificial bone and reduction osteotomy. (D) X-ray at postsurgical month 24 revealing scattered calcifications on the graft regions in the proximal femur without right hip pain. (E) Internal fixation removed after postsurgical month 36. X-ray revealing scattered calcifications on the graft regions of the right hip, not significantly different from 24-month X-rays. No hip pain, normal weight-bearing, good Enneking score and normal hip joint activity were reported.

Back to article page