case_images: PMC11823874_01
case_images: Initial pre-operative anteroposterior radiographs of the child with a cystic lesion in the proximal femur along with a pathological fracture in a 4-year-old child in 2016.
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case_images: F1
case_images: A 4-year-old child presented 8 years ago with a femoral neck fracture and a cystic lesion in the proximal femur (Fig. 1, 2).
case_images: Initial pre-operative lateral radiograph of the child with a cystic lesion in the proximal femur along with a pathological fracture in a 4-year-old child in 2016.
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case_images: PMC11823874_01_JOCR-15-193-g002.jpg
case_images: F2
case_images: A 4-year-old child presented 8 years ago with a femoral neck fracture and a cystic lesion in the proximal femur (Fig. 1, 2).
case_images: Post-operative radiographs showing valgus osteotomy and fixation using a dynamic compression plate.
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case_images: F3
case_images: Initial management involved a valgus osteotomy and fixation using a dynamic compression plate (Fig. 3).
case_images: Follow-up radiographs in 2018, at the age of 6, the patient returned with a malunited femoral neck fracture with coxa vara deformity, along with the persistence of the cystic lesion.
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case_images: F4
case_images: The patient was closely monitored for progression or resolution of the condition (Fig. 4).
case_images: In 2021, at the age of 9, the child developed a bowing deformity of the femur with the persistence of the cystic lesion.
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case_images: F5
case_images: By the age of 9, the patient developed a bowing deformity of the femur (Fig. 5).
case_images: Pre-operative planning for multi-level osteotomy to correct the bowing deformity of the femur.
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case_images: F6
case_images: This was addressed with an osteotomy at two points and the insertion of a titanium elastic nailing system (TENS) (Fig. 6).
case_images: Post-operative radiographs after multi-level osteotomy, which corrected the bowing deformity, and final follow-up at the osteotomy's union.
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case_images: F7
case_images: The intervention successfully corrected the deformity and the femur healed properly (Fig. 7).
case_images: PMC11823874_02
case_images: Valgus osteotomy and fixation with DHS done in 2022 at the age of 10.
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case_images: F8
case_images: A valgus osteotomy was again performed, this time secured with a dynamic hip screw (DHS) (Fig. 8).
case_images: Final follow-up leading to successful union along with correction of coxa vara at age 12.
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case_images: F9
case_images: Subsequent follow-ups confirmed the successful union of the osteotomy site (Fig. 9).