Case Report A unique method for treatment of intramedullary bone cyst: A Unique Method for Treatment of Intramedullary Bone Cyst
Authors
Vishal Rathod, pratik tawri, parag munshiFiles
Key Information
Journal
Published in Vol. 67 No. 2 (2025) of Bombay Hospital Journal.
Bombay Hospital Journal (BHJ) is a peer-reviewed quarterly published Print and Online journal. It is an official Journal of Bombay Hospital institute of medical sciences. The aim of BHJ is to improve medical care by publishing sound scientific articles (both research and practice papers) and focusing on topics that are of great importance to its readership.
Editor-in-Chief- Dr Satish Vasant Khadilkar
About the JournalAbstract
The subtrochanteric fractures is a challenging and technically demanding endeavour for surgeons. 41-year-old male with a history of a road traffic accident experienced a proximal to mid-shaft femur fracture, which was treated initially with a dynamic screw plate and with a proximal femoral nail (PFN) and bone grafting. Despite surgery, the patient remained dependent on a walker and developed increasing pain during ambulation. Xray showed atrophic non-union. A revision surgery was undertaken.
This report presents a case of atrophic non-union following proximal femoral nailing, which was successfully revised using a proximal femur locking compression plate (PF-LCP) and cancellous bone grafting.
References
Bedi A, Le TT. Subtrochanteric femur fractures. Orthop Clin North Am. 2004;35:473–83.
Tomas J, Teixidor J, Batalla L, Pacha D, Cortina J. Subtrochanteric fractures: treatment with cerclage wire and long intramedullary nail. J Orthop Trauma. 2013;27:e157–60
Koch JC. The laws of bone architecture. Am J Anat. 1917;21:177 298
Prasarn ML, Ahn J, Helfet DL, Lane JM, Lorich DG. Bisphosphonate-associated femur fractures have high complication rates with operative fixation. Clin Orthop Relat Res. 2012 Aug;470(8):2295-301. Epub 2012 Jun
Gdoutos EE, Raftopoulos DD, Baril JD. A critical review of the biomechanical stress analysis of the human femur. Biomaterials. 1982;3:2–8.
Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig W, Szyszkowitz R. The proximal femoral nail (PFN)--a minimal invasive treatment of unstable proximal femoral fractures: a prospective study of 55 patients with a follow-up of 15 months. Acta Orthop Scand. 2003;74:53 8
Santolini E, Goumenos SD, Giannoudi M, Sanguineti F, Stella M, Giannoudis PV (2014) Femoral and tibial blood supply: a trigger for non-union? Injury 45:1665–1673
de Vries JS, Kloen P, Borens O, Marti RK, Helfet DL. Treatment of subtrochanteric nonunions. Injury. 2006 Feb;37(2):203-11. Epub 2006 Jan 18
Pires RE, Santana EO Jr, Santos LE, Giordano V, Balbachevsky D, Dos Reis FB. Failure of fixation of trochanteric femur fractures: clinical recommendations for avoiding Z-effect and reverse Z-effect type complications. Patient Saf Surg. 2011;5:17
Hoskins W, Bingham R, Joseph S, Liew D, Love D, Bucknill A et al (2015) Subtrochanteric fracture: the effect of cerclage wire on fracture reduction and outcome. Injury 46:1992–1995
Details
License
Copyright (c) 2026 Bombay Hospital Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
© The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.
