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Femoral allograft in the management of osseous hydatidosis presenting as femoral shaft non-union

  • Orthopaedic Surgery
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Abstract

Osseous hydatidosis is a rare infection posing diagnostic and therapeutic challenge. We present a case of extensive hydatidosis of the femoral shaft with non-union of pathologic fracture. Patient had resection of involved femur and post-operative chemotherapy. Subsequently femur reconstruction was done using a femoral allograft. At 26 months patient has no recurrence and bony union is seen at host-allograft interface. We present this technique as an extended indication of allograft used in limb reconstruction.

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References

  1. Agarwal S, Shah A, Kadhi SKM, Rooney R (1992) Hydatid bone disease of the pelvis. Clin Orthop Relat Res 280:251–255

    PubMed  Google Scholar 

  2. Mattern CJ, Gardner MJ, Grose A, Helfet DL (2007) Echinococcus disease of the bone presenting as femoral shaft nonunion. Clin Orthop Relat Res 458:220–225

    PubMed  Google Scholar 

  3. Zlitni M, Ezzaouia K, Lebib H, Karray M, Kooli M, Mestiri M (2001) Hydatid cyst of bone: diagnosis and treatment. World J Surg 25:75–82. doi:10.1007/s002680020010

    Article  CAS  PubMed  Google Scholar 

  4. Arazi M, Erikoglu M, Odev K, Memik R, Ozdemir M (2005) Primary echinococcus infestation of the bone and muscles. Clin Orthop Relat Res 432:234–241. doi:10.1097/01.blo.0000149816.86222.2d

    Article  PubMed  Google Scholar 

  5. Ferrandez HD, Gomez-Castresana F, Lopez-Duran L, Mata P, Brandau D, Sanchez-Barba A (1978) Osseous hydatidosis. J Bone Joint Surg Am 60:685–690

    CAS  PubMed  Google Scholar 

  6. Charles RW, Govender S, Naidoo KS (1988) Echinococcal infection of the spine with neural involvement. Spine 13:47–49. doi:10.1097/00007632-198801000-00011

    Article  CAS  PubMed  Google Scholar 

  7. Szypryt EP, Morris DL, Mulholland RC (1987) Combined chemotherapy and surgery for hydatid bone disease. J Bone Joint Surg Br 69:141–144

    CAS  PubMed  Google Scholar 

  8. Booz MK (1972) The management of hydatid disease of bone and joint. J Bone Joint Surg Br 54:698–709

    CAS  PubMed  Google Scholar 

  9. Herrera A, Martinez AA (2003) Extraspinal bone hydatidosis. J Bone Joint Surg Am 85:1790–1794

    PubMed  Google Scholar 

  10. Yildiz Y, Bayrakci K, Altay M, Saglik Y (2001) The use of polymethylmethacrylate in the management of hydatid disease of bone. J Bone Joint Surg Br 83:1005–1008. doi:10.1302/0301-620X.83B7.12105

    Article  CAS  PubMed  Google Scholar 

  11. Booz MY (1993) The value of plain film findings in hydatid disease of bone. Clin Radiol 47:265–268. doi:10.1016/S0009-9260(05)81136-5

    Article  CAS  PubMed  Google Scholar 

  12. Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A (2003) Hydatid disease from head to toe. Radiographics 23:475–494. doi:10.1148/rg.232025704

    Article  PubMed  Google Scholar 

  13. Sapkas GS, Stathakopoulos DP, Babis GC, Tsarouchas JK (1998) Hydatid disease of bones and joints. 8 cases followed for 4–16 years. Acta Orthop Scand 69:89–94

    CAS  PubMed  Google Scholar 

  14. Pedrosa I, Saiz A, Arrazola J, Ferrieros J, Pedrosa CS (2000) Hydatid disease: radiological and pathological features and complications. Radiodiagnosis 20:795–817

    CAS  Google Scholar 

  15. Marani SA, Canossi GC, Nicoli FA, Alberti GP, Monni SG, Casolo PM (1999) Hydatid disease:MR imaging study. Radiology 175:701–706

    Google Scholar 

  16. Martin J, Marco V, Zidan A, Marco C (1993) Hydatid disease of the soft tissues of the lower limb: findings in three cases. Skeletal Radiol 22:511–514. doi:10.1007/BF00209098

    Article  CAS  PubMed  Google Scholar 

  17. Garcia-Alvarez F, Torcal J, Salinas JC, Garcia-Alvarez I, Navarro-Zorraquino M, Tejero E, Lozano R (2002) Musculoskeletal hydatid disease: a report of 13 cases. Acta Orthop Scand 73:227–231. doi:10.1080/000164702753671858

    Article  PubMed  Google Scholar 

  18. Bonifacino R, Dogliani E, Craig PS (1997) Albendazole treatment and serological follow-up in hydatid disease of bone. Int Orthop 21:127–132. doi:10.1007/s002640050135

    Article  CAS  PubMed  Google Scholar 

  19. Mjoberg B, Pettersson H, Rosenqvist R, Rydholm A (1984) Bone cement, thermal injury and the radiolucent zone. Acta Orthop Scand 55:597–600

    Article  CAS  PubMed  Google Scholar 

  20. Capurro RG, Pedemonte PV (1953) Hydatic cysts of the femur: total removal of the femur and replacement by a complete cadaveric femur. J Bone Joint Surg Br 35:84–88

    PubMed  Google Scholar 

  21. Ottolenghi CE (1966) Massive osteoarticular bone grafts: transplant of whole femur. J Bone Joint Surg Br 48:646–659

    CAS  PubMed  Google Scholar 

  22. Natarajan MV, Kumar AK, Sivaseelam A, Iyakutty P, Raja M, Rajagopal TS (2002) Using a custom mega prosthesis to treat hydatidosis of bone: a report of 3 cases. J Orthop Surg (Hong Kong) 10:203–205

    CAS  Google Scholar 

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Conflict of interest statement

No financial or any other support has been received in any regard from any organization or institution for this case report titled “Femoral allograft in the management of osseous hydatidosis presenting as femoral shaft non-union.” All authors have contributed for the study and publication of this case report and agree in congruence to the same.

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Correspondence to Rajesh Malhotra.

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Neogi, D.S., Kumar, V. & Malhotra, R. Femoral allograft in the management of osseous hydatidosis presenting as femoral shaft non-union. Arch Orthop Trauma Surg 129, 1627–1632 (2009). https://doi.org/10.1007/s00402-008-0797-1

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  • DOI: https://doi.org/10.1007/s00402-008-0797-1

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