Surgical consideration for benign bone tumors

Abstract

The mode of presentation of benign bone tumors in this group of black African patients is heterogenous, demanding various surgical options. Limb sparing is a largely feasible option, but the recurrence rate is particularly higher for giant cell tumors. Increase in the number of patients presenting with giant cell tumors raises the possibility of an increase in the incidence of this condition in the black African population. Larger multicenter studies in the black African population may shed more light on the actual incidence of giant cell tumors and other bone tumors in this group of patients.

Management of cystic bony lesions at a tertiary health centre in North-West Nigeria

“…Intralesional curettage, irrigation and augmentation with bone cement where necessary continues to remain a standard practice especially for those that present early in a resource poor setting. cystic bony lesions have evolved over time from the use of steroid injections, curettage alone, curettage with adjuvant therapy with use of liquid nitrogen, hydrogen peroxide, phenol, laser, bone graft and polymethylmethacrylate [3,4,8]. Other treatment modalities include marginal resection, followed by reconstruction, arthrodesis and joint replacement.…”

“…Our study showed that most of the lesions occurred around the knee and this is in keeping with the findings in Igbobi, Lagos. Regions around the knee are common sites for most benign bone tumours [4,5]. This area represents the the most actively growing ends in the lower extremities.…”

“…Other advantages of use of bone cement is that the heating effect destroys tumour cells and also helps in the early detection of recurrence indicated by the development of lucency at the cement bone interface but it has been associated with anaphylactic reactions and degeneration of the articular cartilage [3,19,20]. The sandwich technique of applying a layer of bone graft and gel foam protects the articular cartilage from the thermal effect of the bone cement and also gives support to the weakened subchondral area [4,21]. The advantage of allograft is that it incorporates well and there is no need for removal but it makes detection of recurrence difficult.…”

The reliability of Cavalier’s principle of stereological method in determining volumes of enchondromas using the computerized tomography tools

“…1 Intralesional curettage usually creates intramedullary defects with different volumes, and many surgeons still propose the use of autogenous bone grafts, polymethylmethacrylate cement, hydroxyapatite, and tricalcium phosphate to fill the defect and to prevent pathological fractures, while other surgeons don't support using grafts and reported good results without filling the resultant postoperative defects. [2][3][4][5][6][7] Enchondroma composes 2.6% of benign bone tumors, and they can be presented at any age.…”

Fracture of an Osteochondroma of Humerus by Arm Tourniquet Inflated to Measure Blood Pressure in Pediatric Patient With Radial Nerve Neuropraxia

“…This tumor is defined as a cartilage-capped bony projection arising on the external surface of bone [1]. Osteochondroma is often asymptomatic, but the only clinical symptom is a painless slow-growing mass on the involved bone [1,3]. When compression, fracture, bone deformity and mechanical joint problems occur with symtoms [1,3].…”