Name of the Procedure:

Excision or Curettage of Bone Cyst or Benign Tumor of Femur

Summary

This surgical procedure involves removing a non-cancerous growth or bone cyst from the femur (thigh bone). The procedure can be performed using excision, where the growth is cut out, or curettage, where the growth is scraped away.

Purpose

• Addressed Condition: Removal of bone cysts or benign tumors in the femur.
• Goals: To eliminate the growth, alleviate pain, prevent fractures, and improve bone function and health.

Indications

• Persistent pain in the femur.
• Swelling or a noticeable lump.
• Frequent fractures or a weakened femur.
• Imaging tests (e.g., X-rays, MRI) showing a bone cyst or benign tumor.

Preparation

• Pre-procedure Instructions: Patients may need to fast for several hours before the procedure and adjust any current medications as directed by their doctor.
• Diagnostic Tests: X-rays, MRI, or CT scans to assess the size and location of the cyst or tumor.

Procedure Description

1. Anesthesia: Typically performed under general anesthesia.
2. Incision: An incision is made over the affected area of the femur.
3. Excision/Curettage: The benign tumor or cyst is either cut out (excision) or scraped away (curettage) using specialized surgical tools.
4. Bone Grafting (if needed): Sometimes, a bone graft is placed to fill the cavity left by the cyst or tumor.
5. Closure: The incision is closed with stitches or surgical staples.

Duration

The procedure usually takes about 1 to 2 hours, depending on the size and complexity of the cyst or tumor.

Setting

Performed in a hospital operating room or a specialized surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection
• Bleeding
• Damage to surrounding tissues or nerves
• Fracture
• Recurrence of the cyst or tumor

Benefits

• Relief from pain and discomfort
• Prevention of future fractures
• Improved bone strength and function
• Early detection and treatment of any complications

Recovery

• Post-procedure Care: Regular pain management, keeping the incision clean and dry, and following any specific instructions from the doctor.
• Recovery Time: Patients can usually return to normal activities within 6-8 weeks, although strenuous activities might be restricted for longer.
• Follow-up Appointments: Regular check-ups to monitor healing and ensure the cyst or tumor has not recurred.

Alternatives

• Observation: Monitoring the cyst or tumor with regular imaging tests.
• Medication: Pain relief measures or other drugs to manage symptoms.
• Minimally Invasive Procedures: Other less invasive methods to treat small cysts or tumors.

Patient Experience

• During the Procedure: Patients are under general anesthesia and will not feel pain or be aware during the procedure.
• Post-procedure: Some pain and discomfort are normal, which can be managed with prescribed pain medications. Patients might experience swelling and will need to avoid weight-bearing activities on the affected leg for a specified period.