Outcome analysis of solitary osteochondromas of femur managed surgically: a series of 32 patients


  • Sanjeev Gupta Department of Orthopaedics, Government Medical College, Jammu, India
  • Abdul Ghani Department of Orthopaedics, Government Medical College, Jammu, India
  • Bias Dev Department of Orthopaedics, Government Medical College, Jammu, India
  • Rahul Mahajan Department of Orthopaedics, Government Medical College, Jammu, India
  • John Mohd Department of Orthopaedics, Government Medical College, Jammu, India
  • Amarjeet Singh Department of Orthopaedics, Government Medical College, Jammu, India
  • Zubair A. Lone Department of Orthopaedics, Government Medical College, Jammu, India




Osteochondroma, Femur, Extra-periosteal excision, Benign bone tumor


Background: Osteochondroma is the commonest benign bone tumor in humans. This tumor may either be solitary or present as multiple lesions. Solitary osteochondromas are much more common. Femur is the single most common long bone involved followed by tibia and humerus. Osteochondromas may be either asymptomatic or may present as pain, pressure symptoms or functional impairment. Most of the symptomatic lesions need surgical excision.

Methods: This was a prospective study which included 32 patients with solitary osteochondromas of femur, who were managed with surgical excision. Only the symptomatic cases were operated. Minimum follow-up period was 18 months after surgery.

Results: This study involved 23 males (71.87%) and nine females (28.12%). 30 osteochondromas (93.75%) were located in the distal femoral metaphysis while as only two cases (6.25%) of proximal metaphyseal involvement were seen. The commonest indication for surgery was pain. Other indications included cosmetic causes, restricted joint movement, fracture of osteochondroma and paresthesia or numbness. The complications included post-operative hematoma formation which was seen in 2 patients (6.25%), infection which was seen in one patient (3.12%), post-operative hypoaesthesia in 2 patients (6.25%) and recurrence of the tumor occurred in one patient (3.12%).

Conclusions: Surgical excision of the solitary symptomatic femoral osteochondromas is a rewarding and safe procedure with minimal complications. 

Author Biography

Sanjeev Gupta, Department of Orthopaedics, Government Medical College, Jammu, India

Senior Resident, Department of Orthopaedics, Government Medical College Jammu


Khurana J, Abdul-Karim F, Bovée JVM. Osteochondroma. In: Fletcher CD, Unni KK, Mertens F (ed) Pathology and genetics of tumours of the soft tissues and bones. Lyon, IARC Press. 2002;234-7.

Lee KCY, Davies AM, Cassar-Pullicino VN. Imaging the complications of osteochondromas. Clin Radiol. 2002;57:18-28.

Bovee JVMG, Cleton-Jensen AM, Wuyts W. Ext-Mutation analysis and loss of heterozygosity in sporadic and hereditary osteochondromas and secondary chondrosarcomas. Am J Hum Genet. 1999;65:689-98.

Unni KK. Osteochondroma. In: Unni KK (ed) Dahlin’s bone tumors: general aspects and data on 11,087 cases, 5th ed. Springfield: Thomas. 1996;11-23.

Vanhoenacker FM, Van Hul W, Wuyts W, Willems PJ, De Schepper AM. Hereditary multiple exostoses: from genetics to clinical syndrome and complications. Eur J Radiol. 2001;40:208-17.

Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics. 2001;20(5):1407-34.

Giudici MA, Moser RP Jr, Kransdorf MJ. Cartilaginous bone tumors. Radiol Clin North Am. 1993;31(2):237-59.

Milgram JW. The origins of osteochondromas and enchondromas. A histopathologic study. Clin Orthop Relat Res. 1983;174:264-84.

Resnick D, Kyriakos M, Greenway GD. Osteochondroma. In: Resnick D (ed) Diagnosis of bone and joint disorders, 3rd edn. Philadelphia, Saunders. 1995;3725-46.

Scarborough MT, Moreau G. Benign cartilage tumors. Orthop Clin North Am. 1996;27(3):583-9.

Stieber JR, Dormans JP. Manifestations of hereditary multiple exostoses. J Am Acad Orthop Surg. 2005;13(2):110-20.

Lee JK, Yao L, Wirth CR. MR imaging of solitary osteochondromas: report of eight cases. AJR Am J Roentgenol. 1987;149(3):557-60.

de Souza AM, Bispo Júnior RZ. Osteochondroma: ignore or investigate? Rev Bras Ortop. 2014;49(6):555-64.

Khare GN. An analysis of indications for surgical excision and complications in 116 consecutive cases of osteochondroma. Musculoskelet Surg. 2011;95(2):121-5.

F Bottner, R Rodl, I Kordish, W Winklemann, G Gosheger, N Lindner. Surgical treatment of symptomatic osteochondroma. A three- to eight-year follow-up study. J Bone Jt Surg Br. 2003;85(8):1161-5.

L Di Giorgio, R Lanzone, L Sodano, B Di Paola, G Touloupakis, M Mastantuono. Surgical treatment of osteochondromas: Indication in “Strategic exostosis”. Clin Ter. 2015;166(1):27-33.






Original Research Articles