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Desmoplastic Fibroma of the Distal Femur in a Young Man: A Rare Case Report

September 10, 2020

Original Article | Volume 6 | Issue 3 | JBST September – December 2020 | Page 2-4 | Suresh Babu, Abhishek Vaish, Raju Vaishya DOI: 10.13107/jbst.2020.v06i03.30 Author: Suresh Babu[1], Abhishek Vaish[1], Raju Vaishya[1] [1]Department of Orthopaedics and Joint Replacement Surgery, Indrparastha Apollo Hospitals, New Delhi, India. Address of Correspondence Dr. Suresh Babu, Department of Orthopaedics […]

Editorial May – August 2020

May 10, 2020

Editorial | Volume 6 | Issue 2 | JBST May – August 2020 | Page 1 | Yogesh Panchwagh, Ashish Gulia, Ashok Shyam. 10.13107/jbst.2020.v06.i02.20 Author:Dr. Yogesh Panchwagh[1], Dr. Ashish Gulia[2] & Dr. Ashok Shyam[3],[4] [1]Orthopaedic Oncology Clinic, Pune, India. [2]Orthopedic Oncology Services, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai. [3]Indian Orthopaedic Research Group, Thane, […]

Desmoplastic Fibroma of the Distal Femur in a Young Man: A Rare Case Report

September 10, 2020

Editorial May – August 2020

May 10, 2020

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Desmoplastic Fibroma of the Distal Femur in a Young Man: A Rare Case Report

September 10, 2020

Author: Suresh Babu[1], Abhishek Vaish[1], Raju Vaishya[1]

[1]Department of Orthopaedics and Joint Replacement Surgery, Indrparastha Apollo Hospitals, New Delhi, India.

Address of Correspondence
Dr. Suresh Babu,
Department of Orthopaedics and Joint Replacement Surgery, Indrparastha Apollo Hospitals, Sarita Vihar, New Delhi – 110 076, India.
E-mail: yssureshbabu@gmail.com

Introduction: Lytic lesions in the distal femur in a mature skeleton though a common presentation for various tumors, desmoplastic fibroma (DFB) of bone is a rare occurrence. Review of the literature shows its incidence of 0.06% to 0.3%. In the majority of reported cases, the diagnosis has been obtained on histopathological examination. Treatment varies from aggressive curettage to amputations. We describe a novel surgical technique for dealing such lesions.
Case Report: A 24-year-old male presented with swelling around with DFB the left distal femur presented with pain for 4 months which progressed in severity and led to inability to bear weight. On clinical examination, he had a tender discrete swelling over the medial aspect of the left distal femur. Radiographic examination showed an eccentric lytic lesion in the metaphyseoepiphyseal region of the left distal femur. An extended curettage using phenol (10%) as adjuvant therapy was performed. The cavity was packed with bone cement and the distal femur was fixed by spanning the lytic lesion with a distal femoral locking plate. At months follow-up, he reported complete resolution of symptoms, and on examination, he had pain free and full range of motion, without any signs of recurrence.
Conclusion: An effort should be made to obtain a pre-operative histopathological diagnosis of the tumor type. In cases of equivocal findings, a diagnosis of DFB of the bone should be considered. Extended curettage, phenol ablation, and bone cement with plate augmentation offer an effective treatment modality in the treatment of DFB.
Keywords: Desmoplastic fibroma, benign bone tumors, surgery, knee, femur.

Reference:
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How to Cite this article: Babu S, Vaishya A, Vaishya R | Desmoplastic Fibroma of the Distal Femur in a Young Man: A Rare Case Report. | Journal of Bone and Soft Tissue Tumors | Sep-Dec 2020; 6(3): 2-4.

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Editorial May – August 2020

May 10, 2020

Author:Dr. Yogesh Panchwagh[1], Dr. Ashish Gulia[2] & Dr. Ashok Shyam[3],[4]

[1]Orthopaedic Oncology Clinic, Pune, India.
[2]Orthopedic Oncology Services, Department of Surgical Oncology,
Tata Memorial Hospital, Mumbai.
[3]Indian Orthopaedic Research Group, Thane, India
[4]Sancheti Institute for Orthopaedics &Rehabilitation, Pune, India

Address of Correspondence
Dr. Yogesh Panchwagh.
Orthopaedic Oncology Clinic, 101, Vasant plot 29, Bharat Kunj
Society -2, Erandwana, Pune – 38, India.
Email: drpanchwagh@gmail.com

In the last 4 months, we have seen the real impact of Covid-19 pandemic in India with multiple lockdowns implemented nationwide. With all offices and businesses, barring the healthcare sector and allied units, coming to a standstill or switching to work-from-home format, there have been major changes to the ways in which we used to accomplish things.

Certain branches of medicine and especially some hospital units saw tremendous surge in work pressure given the intense demand of workforce required to handle the pandemic. Many others faced challenges in form of reduced patient load affecting the economics and had to fight daunting circumstances to stay afloat. Everyone had to adapt to face the situation and emerge out less scathed if not unscathed.

However, the situation presented a unique opportunity to all. It ranged from data accrual and documentation pertaining to the various aspects of pandemic in case of some, while for others who had free time, it helped in analysis and manuscript writing of pending publication work. Everyone had an opportunity to contribute to research and hence we have seen a surge in manuscript submissions and publications. Thankfully, the review process for almost all remained mostly unaffected and hence the turnaround times for article publication were not affected significantly.

Adaptability remains the key for the human race. We need to look for the brighter aspects through the ongoing mayhem, fight the doubtful thoughts lurking around, take advantage of whatever situation we may be forced into and focus on the work that needs to be done.

JBST team is proud and happy to present this issue on time despite multiple challenges. Kudos to all the contributors who have shown grit and a strong will to fight on.

Dr. Yogesh Panchwagh
Dr. Ashish Gulia
Dr. Ashok Shyam

How to Cite this article: Panchwagh Y, Gulia A, Shyam A. Editorial. Journal of Bone and Soft Tissue Tumors May-August 2020; 6(2):1

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Desmoplastic Fibroma of the Distal Femur in a Young Man: A Rare Case Report

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