PMC7276561_01
Aneurysmal bone cystin the proximal femur with pathologic fracture.
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F1
The patient was investigated and radiographs revealed a geographic lytic expansile lesion with septae with thin sclerotic margins involving the proximal metaphyseal region of the right femur along with pathologic fracture in the subtrochanteric region (Fig. 1).
Post-operative radiograph: En bloc excision of tumor was performed and grafting with cancellous bone graft and non-vascularized fibula done.
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F2
A dynamic condylar screw (DCS) plate system consisting of 8-hole titanium plate with distal four bicortical screws was used to stabilize it (Fig. 2).
Clinical photo showing good functional outcome.
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F3
Follow-up at 24-month post-surgery revealed 1cm shortening of the affected limb with no deformities and a hip joint with a normal range of motion (Fig. 3).
Full incorporation of the graft with no recurrence at 2-yearfollow-up.
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F4
Radiographs revealed a fully incorporated fibular graft with no lesion recurrence (Fig. 4).