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Rotational Acetabular Osteotomy for Benign Chondroblastoma of the Femoral HeadA Case Report
Katsuhiko Maezawa, MD1; Masahiko Nozawa, MD1; Tatsuya Takagi, MD1; Dai Imai, MD1; Katsuo Shitoto, MD1; Hisashi Kurosawa, MD1
1 Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. E-mail address for K. Maezawa: maeza@med.juntendo.ac.jp
The Journal of Bone & Joint Surgery.  2005; 87:1358-1362  doi:10.2106/JBJS.D.02457
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Extract

Chondroblastoma is a rare primary bone tumor that usually affects the epiphysis or apophysis of long bones, especially the proximal part of the tibia, the proximal part of the humerus, and the proximal and distal parts of the femur. Its clinical course is unpredictable, and it can behave aggressively without treatment. Even with curettage, the local recurrence rate can be =20% within three years after the operation1-7. A few cases of metastasis have been reported despite the histologically benign appearance of the tumor5,6. There have been reports of the development of osteoarthritis of the hip joint secondary to femoral head collapse after curettage of lesions in the femoral head2,6. In this paper, we report the case of a patient with chondroblastoma of the femoral head and acetabular dysplasia who was treated with rotational acetabular osteotomy to prevent femoral head collapse after curettage of the lesion. The patient was informed that data concerning this case would be submitted for publication.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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