Distal tibial aneurysmal bone cyst treatment by using a proximal fibular autologous bone graft: a case report

Kapoor, Harmesh; Singh, Devender; Bhatia, Naval; Chaudhary, Deepak; Singh, Awadesh Kumar

doi:10.1053/j.jfas.2004.03.001

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…The authors findings conclude the use of fibular strut grafts in the setting of large juxtaarticular lesions. 11 Fibular strut autografts or allografts have proved to be successful when used during reconstruction for large cystic lesions that require immediate stability. To our knowledge this is the first reported case of complete regeneration of an anatomical bony landmark after allogenic fibular graft reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Allogenic fibular bone graft reconstruction with complete regeneration of the lateral malleolus after En bloc resection of a distal fibular aneurysmal bone cyst: A case report

Mortenson

Fallat

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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Section: Discussionmentioning

confidence: 99%

Allogenic fibular bone graft reconstruction with complete regeneration of the lateral malleolus after En bloc resection of a distal fibular aneurysmal bone cyst: A case report

Mortenson

Fallat

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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“…AKK'nin aktif olduğu ilk evrelerde ekspanse olan kemiğin sınırları belirgin olmadığı için malign bir lezyona benzetilebilir. Özellikle telanjiektazik osteosarkomdan ayıredilmesi gerekir (8,10). Ön kolda kitlesi olan olguda radyolojik olarak ön planda Ewing olabileceği düşünüldü.…”

Section: Discussionunclassified

“…Gerekli olduğu durumlarda greft fiksasyonu için konvansiyonel plak, interfrans vida, intrame- (1,2). Marco ve Miller genç popülasyonda çok büyük kistik kavitelerin sürekli stabilitesinin fibuler strut greft ile sağlanarak en iyi şekilde tedavi edildiğini rapor etmişlerdir (8). İkinci olgumuzda ön koldaki büyük kistik lezyon ulnanın 2/3'ünü tuttuğu için stabilite açısından radikal rezeksiyon ve fibular kemik otogrefti ile rekonstrüksiyon (fibuler kemik strut otogrefti proksimal ve distalden ulnaya plak vidalarla tespit edildi) yapıldı.…”

Section: Discussionunclassified

“…Yapılacak tedavinin öncelikle yüksek oranda kür sağlaması, düşük komplikasyon ve morbidite oranına sahip olması gerekir; fakat bu kriterlere uygun tedavi yöntemi mevcut değildir. AKK tedavisine karar verirken lezyonun anatomik lokalizasyonu, kistin boyutu, büyüme hızı, patolojik kırık riski veya spinal kord tutulumu ve lezyonun primer veya sekonder olması gibi faktörler dikkate alınmalıdır (8).…”

Section: Introductionunclassified

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Aggresive Aneurysmal Bone Cyst: Two Case Report

Bilgili¹,

Özkaya²,

Kabukçuoğlu³

et al. 2012

JAREM

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1 Taksim Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye 2 Baltalimanı Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye ÖZETFemur ve ön kolda agresiv seyirli anevrizmal kemik kisti olan 20 yaşında iki olgu sunuldu. Femurdaki agresiv seyirli anevrizmal kemik kisti olgusunun total eksizyonlara rağmen tekrarlaması ve enfeksiyonla birlikteliği ekstremite dolaşımını bozdu, tedavisinda kalça dezartikülasyonu yapıldı. Ulna'nın 2/3'ünün tümör ile invaze olduğu ikinci olguda tedavi olarak total eksizyon ve fibula otogrefti ile rekonstrüksiyon yapıldı. İki yıl takip sonrasında fibula otogreftinin ulnaya tamamen inkorpere olduğu ve eklem hareket açıklığının ağrısız olduğu görüldü. Anevrizmal kemik kistinin lokal agresiv ve malign tümörlerle ayırımının önemi ve farklı tedavi yöntemleri literatür eşliğinde tartışıldı. (JAREM 2011; 1: 65-8) Anahtar Sözcükler: Agresiv anevrizmal kemik kisti, dezartikülasyon, rekonstrüksiyon, fibular greft ABSTRACT Two cases of an aggresive aneurysmal bone cyst that involved the distal femur and forearm in 20-year-old men were presented. The recurrence of the aggressive aneurysmal bone cyst with severe infection in the femur in spite of total excision caused deterioration of the extremity circulation. Hip disarticulation was applied for the treatment. The second case with an alytic expansile lesion involving the 2/3 of the right ulna was surgically treated by total excision and reconstruction of the ulna by using the ipsilateral fibula. At the 2-year follow-up, the patient had complete incorporation of the fibular graft.The differential diagnosis of the aneurysmal bone cyst from the local aggressive and malignant tumor and different treatment options were discussed with the literature. (JAREM 2011; 1: 65-8)

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“…[9][10][11][12] One case was reported using the fibular head to reconstruct the medial malleolus, after a tumor resection. 13 However, there was no previous report that discussed the application of fibular head flap in the reconstruction of the medial malleolus for the defect of bone and soft tissues caused by open ankle fracture.…”

Section: Discussionmentioning

confidence: 99%

Medial malleolus and deltoid ligament reconstruction in open ankle fractures with combination of vascularized fibular head osteo‐tendinous flap and free flap transfers

Shui-pei¹,

Fa-hui²,

Zhou³

2009

Microsurgery

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Treatment of the traumatic bone and soft tissue defect of the medial ankle is a challenge in reconstructive orthopedic surgery. In this report, we described a novel reconstruction procedure for the medial malleolus reconstruction using microsurgical transfer of the fibular head osteo-tendinous flap combined with a free latissimus dorsi flap (free LD flap) or a free anterolateral thigh flap (free ALT flap) in six patients. The sizes of the wounds ranged from 10 x 8 cm to 24 x 10 cm, and the sizes of the LD and ALT flaps were from 12 x 9 cm to 24 x 12 cm. All transplants survived. Five patients had primary wound healing. One patient had fibular graft and soft tissue infection that caused delayed healing. On average 4 months after surgery, all patients were able to stand and walk without crutch assistance. With a mean follow-up of 3.5 years (range, 1-5 years), all patients achieved stable ankles and were satisfied with the range of motion with excellent American Orthopedic Foot and Ankle Society functional scores (> 85). The fibular head resembles the medial malleolus in morphology. Vascularized fibular head transfer combined with a free flap provides satisfactory results for complex medial malleolus reconstruction.

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Distal tibial aneurysmal bone cyst treatment by using a proximal fibular autologous bone graft: a case report

Cited by 4 publications

References 17 publications

Allogenic fibular bone graft reconstruction with complete regeneration of the lateral malleolus after En bloc resection of a distal fibular aneurysmal bone cyst: A case report

Allogenic fibular bone graft reconstruction with complete regeneration of the lateral malleolus after En bloc resection of a distal fibular aneurysmal bone cyst: A case report

Aggresive Aneurysmal Bone Cyst: Two Case Report

Medial malleolus and deltoid ligament reconstruction in open ankle fractures with combination of vascularized fibular head osteo‐tendinous flap and free flap transfers

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