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). Clinical results were assessed using the functional-evaluation-of-reconstruction procedures described by the Musculoskeletal Tumor Society. Radiographic outcomes were assessed by comparing preoperative radiographs with radiographs taken at the most recent follow-up. Clinical results were excellent in all patients. Radiographic assessment of the patients showed no evidence of recurrent tumor, fracture, or graft resorption at the most recent follow-up. This method of treatment leads to excellent functional results and lessens the morbidity associated with autograft harvest.