{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:29Z","timestamp":1787755349685,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a rare case of desmoplastic fibroma (DF) of the midshaft femur presenting as a pathological fracture. This rare benign bone tumor was treated with an acute en bloc excision and femoral shortening over an intramedullary nail. Once union of the acute shortening had been achieved, further surgery was undertaken to lengthen the femur with the use of Intramedullary Skeletal Kinetic Distractors. At 3 years after fracture, our patient had achieved equal leg lengths, had normal knee function, and was disease free.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>DF resulting in pathological fracture of the midshaft femur is extremely rare and has not been reported to occur in the femoral diaphysis. This location is important as preservation of the joint above and below is preferable and en bloc excision is recommended. Restoration of bone stock after en bloc excision is difficult and recurrence needs to be monitored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00022","type":"journal-article","created":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T05:01:24Z","timestamp":1558933284000},"page":"e0022-e0022","source":"Crossref","is-referenced-by-count":3,"title":["Desmoplastic Fibroma: A Rare Pathological Midshaft Femoral Fracture Treated With Resection, Acute Shortening, and Re-lengthening"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6432-3242","authenticated-orcid":false,"given":"Jarrad","family":"Stevens","sequence":"first","affiliation":[{"name":"Department of Surgery, Orthopaedics, Royal Infirmary Edinburgh, Edinburgh, Scotland"},{"name":"Knox Orthopaedic Group, Knox Private Hospital Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5719-0990","authenticated-orcid":false,"given":"Sarah","family":"Moin","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of Edinburgh, Edinburgh, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4451-4375","authenticated-orcid":false,"given":"Donald","family":"Salter","sequence":"additional","affiliation":[{"name":"Department of Pathology, Royal Infirmary Edinburgh, Edinburgh, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2543-1918","authenticated-orcid":false,"given":"James T.","family":"Patton","sequence":"additional","affiliation":[{"name":"Department of Surgery, Orthopaedics, Royal Infirmary Edinburgh, Edinburgh, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,4]]},"reference":[{"key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jbo.2014.08.001","article-title":"Desmoplastic fibroma of bone: a rare bone tumour","volume":"3","author":"Evans","year":"2014","journal-title":"J Bone Oncol."},{"issue":"3","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1148\/radiology.172.3.2772196","article-title":"Desmoplastic fibroma of bone: radiographic analysis","volume":"172","author":"Crim","year":"1989","journal-title":"Radiology."},{"key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"732","DOI":"10.2106\/00004623-198567050-00008","article-title":"Desmoplastic fibroma of bone: a report of eight cases and review of the literature","volume":"67","author":"Gebhardt","year":"1985","journal-title":"J Bone Joint Surg Am."},{"key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/BF00352087","article-title":"Case report 302: desmoplastic fibroma of the proximal end of the left femur","volume":"13","author":"Lichtman","year":"1985","journal-title":"Skeletal Radiol."},{"issue":"4","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.3892\/ol.2015.3603","article-title":"Desmoplastic fibroma in the proximal femur: a case report with long-term follow-up","volume":"10","author":"Gong","year":"2015","journal-title":"Oncol Lett."},{"key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1007\/s00256-013-1624-5","article-title":"Incidental lesion in the femoral metaphysis: desmoplastic fibroma of the bone","volume":"42","author":"Wadhwa","year":"2013","journal-title":"Skeletal Radiol."},{"key":"bib9-20230712","first-page":"219","article-title":"Allograft bone in the treatment of desmoplastic fibroma: a case report","author":"Clayer","year":"1994","journal-title":"Clin Orthop Relat Res."},{"key":"bib10-20230712","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.jbspin.2007.04.020","article-title":"Desmoplastic fibroma: a report of three cases at unusual locations","volume":"75","author":"Rastogi","year":"2008","journal-title":"Joint Bone Spine."},{"key":"bib11-20230712","doi-asserted-by":"crossref","first-page":"201","DOI":"10.3109\/00313028709077135","article-title":"Desmoplastic fibroma of bone","volume":"19","author":"Chan","year":"1987","journal-title":"Pathology."},{"key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1302\/0301-620X.66B2.6707066","article-title":"Desmoplastic fibroma of bone: a report of six cases","volume":"66","author":"Bertoni","year":"1984","journal-title":"J Bone Joint Surg Br."},{"key":"bib13-20230712","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.3892\/ol.2013.1535","article-title":"Desmoplastic (collagenous) fibroma of the femur: a case report and review of the literature","volume":"6","author":"Gao","year":"2013","journal-title":"Oncol Lett."},{"issue":"3","key":"bib14-20230712","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.3892\/ol.2014.2249","article-title":"Extended curettage and heat ablation for desmoplastic fibroma of the distal femur with a 12-year follow-up period: a case report","volume":"8","author":"Yokouchi","year":"2014","journal-title":"Oncol Lett."},{"key":"bib15-20230712","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1002\/(SICI)1097-0142(19960901)78:5<1011::AID-CNCR11>3.0.CO;2-5","article-title":"Desmoplastic fibroma of the bone: a report of two patients, review of the literature, and therapeutic implications","volume":"78","author":"B\u00f6hm","year":"1996","journal-title":"Cancer."},{"key":"bib16-20230712","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1007\/s00590-017-1998-5","article-title":"Distraction osteogenesis reconstruction of large segmental bone defects after primary tumour resection: pitfalls and benefits","volume":"27","author":"Lesensky","year":"2017","journal-title":"Euro J Orth Surg Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:42Z","timestamp":1787751702000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201906000-00010"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":14,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.18.00022","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4]]}}}