09 November 2024 : Clinical Research
Comparative Analysis of Extended Curettage with Plate Fixation and Extended Curettage with Intramedullary Nail Fixation for Campanacci Grade Ⅱ and International Society of Limb Salvage Zone H2 Giant Cell Tumors of the Proximal Femur: A Retrospective Study
Jiashi Song12345BCE, Kaipeng Jin1345DF, Bing Liu1345AG*DOI: 10.12659/MSM.945157
Med Sci Monit 2024; 30:e945157
Table 4 The appropriate internal fixation according to the International Society of Limb Salvage classification.
| ISOLS partition | Surgical approach | Filler materials | Fixation materials |
|---|---|---|---|
| H2 (Neck of femur) | Smith-Peterson | IB+AB | Cannulated screws |
| H2 (Intertrochanteric) | Watson-Jones | IB+AB/BC | DHS |
| H2 (Greater trochanter) | Watson-Jones | IB+AB/BC | Steel wire+Kirschner wire/ Cannulated screws or LCP |
| H2 | Watson-Jones | IB+AB+AF | DHS |
| H1+H2 | Watson-Jones | IB+AB/AF | DHS |
| H2+H3 | Watson-Jones | IB+AB/AF | DHS or LCP or Intramedullary nail |
| ISOLS – International Society of Limb Salvage; IB – iliac bone; AB – allogeneic bone; BC – bonecement; AF – allogeneic fibula; LCP – locking compression plate; DHS – Dynamic Hip Screw Plate – IN – intramedullary nail. | |||