Surgical Technique: Management of a Pathological Fracture in the Femoral Neck: Case Report and Literature Review.

Abstract

The unicameral bone cyst (UBC) is a benign lesion that affects children and adolescents between 4 and 14 years of age. They are defined by an osteolytic cavity filled with serous fluid, enclosed by a thin fibrous membrane. Moreover, they are closely associated with skeletal growth and biomechanical stresses during development. Surgical management of UBCs is crucial, particularly in weight-bearing bones, to reduce the risk of pathological fractures and maintain structural stability. These surgical procedures (such as curretage and bone grafting) aim to restore bone stability, prevent recurrence, and enhance long-term functional outcomes. Studying UBCs provides insight into the natural history and behavior of benign bone lesions, emphasizing the importance of growth and mechanical factors in skeletal pathology. This case report seeks to present our experience in managing UBCs of the proximal femur in Riyadh, Saudi Arabia, focusing on the tips needed in the surgical technique that can aid surgeons in the management of such cases.