Case Report

Eight-Year Follow-Up Using a Fresh Osteochondral Allograft for a Femoral Head Chondroblastoma in a 17-Year-Old Patient

Table 1

Reported techniques and outcomes for femoral head chondroblastoma.

TechniqueOutcome

Curettage alone
(i) Trapdoor procedure [12]
(ii) Modified trapdoor procedure [13]
(iii) Surgical dislocation [11]
(i) Removal of the lesion
(ii) Risk of impingement between the edges of the surgical defect and the labrum
(iii) Articular surface destruction
(iv) Earlier hip osteoarthritis [8, 9, 24]
Allograft following curettage
(i) Fresh osteochondral allografts [9, 1416]
(ii) Frozen grafts allografts [1720]
(iii) Fibular vascularized allograft [21]
(i) Restoration of the articular surface
(ii) Higher risk of infection and potential immunologic reaction [1720]
(iii) Limited data available using those techniques
Radiofrequency ablation [22, 23]Efficiency only described in small lesions
Arthroplasty [8, 9, 24]Total joint replacement

Recurrence rate as high as 20%, this making it imperative to do an aggressive curettage [3].