PDF(Pubmed)
Abstract：
Aneurysmal bone cysts (ABCs) are rare benign bone lesions with a predilection for the metaphysis of long bones. They are often cystic, expansive, and osteolytic and may result in bony deformity. In general, there remains debate about optimal treatment for ABCs; however, the mainstay typically consists of a combination of curettage, bone grafting, and considering the need for internal fixation and osteotomies. The goals of treatment include preserving bony anatomy while eliminating the lesion. There is sparse literature regarding the treatment of osteoarthritis adjacent to benign bony tumors. If total hip arthroplasty is chosen as a treatment option, diligent preoperative planning is required, and the surgeon must assess the patient\'s bone stock, account for bony deformity, and utilize specific implants and techniques based on the patient\'s characteristics. We present a case of an adult patient with proximal femur ABC and symptomatic adjacent hip osteoarthritis who underwent treatment with total hip arthroplasty.
摘要：
动脉瘤性骨囊肿（ABCs）是罕见的良性骨病变，对长骨干meta端有好感。它们通常是囊性的，膨胀，和溶骨，并可能导致骨畸形。总的来说,关于ABC的最佳治疗仍存在争议；然而，主要由刮宫的组合组成，骨移植,并考虑内固定和截骨术的需要。治疗的目标包括保留骨解剖结构，同时消除病变。关于与良性骨肿瘤相邻的骨关节炎的治疗的文献很少。如果选择全髋关节置换术作为治疗选择，需要勤奋的术前计划，外科医生必须评估病人的骨存量，骨畸形的原因，并根据患者的特征使用特定的植入物和技术。我们介绍了一例患有股骨近端ABC和有症状的相邻髋关节骨关节炎的成年患者，该患者接受了全髋关节置换术的治疗。
