Use of a fibular allograft strut in the treatment of benign lesions of the proximal femur.

Fifteen patients with a benign lesion of the proximal femur were surgically treated with augmented intralesional curettage and bone grafting using an allogenic fibular strut graft in conjunction with internal fixation with a sliding hip screw. Mean age was 26 years (range, 13-46 years). Patients were followed up for a mean of 30 months (range, 7-110 months).

Oncologic uses of the retrograde femoral nail.

Destructive lesions about the distal femur represent difficult treatment situations. Patients who present with impending or pathologic fractures require a method of fixation that provides adequate stabilization to allow for early, pain-free ambulation. Other considerations include restoration of functional range of motion, low perioperative morbidity and mortality risk, and minimal soft tissue dissection.