An Evaluation Surgical Treatment of Intraosseous Lipoma Our Cases

Yıl 2014, , 7 - 10, 21.08.2014

Güray Toğral Murat Arıkan Sezgin Semis Fevzi Kekeç Fatih Ekşioğlu Şafak Güngör

https://doi.org/10.5505/aot.2014.10820

Öz

OBJECTIVE: In this study, we evaluated the retrospective analysis of 12 patients with the diagnosis of intraosseos lipoma, who were surgically treated between 2008-2013.
METHODS: Seven of the patients were male and 5 were female. Four of the cysts were in tibia, 3 were in calcaneus, 2 in humerus, one in talus, one in distal femur and one in acetabulum.
RESULTS: All the patients were treated with curretage and allogenic bone grafting. No intraoperative complications were recorded. The median visual analog score (VAS) was decreased from 4 to 1 at the postoperative 4th month and all the patients were pain free. The complete consolidation of the grafts radiologically was recorded in 4 (2-6) months. No pathological fractures or recurrences were encountered.
CONCLUSION: Curretage and bone grafting is an actual teratment modality in the treatment of symptomatic intraosseous bone cysts.

Anahtar Kelimeler

Intraosseous lipoma, Surgery, Pain control; Graft consolidation

İntraosseoz Lipomlu Olgularımızdaki Cerrahi Tedavi Sonuçlarımız

Öz

AMAÇ: Bu çalışmada, intraosseöz lipom tanısı almış olan ve cerrahi olarak tedavi edilmiş 12 hastanın retrospektif analizi incelenmiştir.
YÖNTEMLER: Hastaların 7’si erkek, 5’i kadın idi. Kistlerin 4’ü tibiada, 3’ü kalkaneusta, 2’si humerusta, biri talusta, biri femur distalinde ve biri asetabulumda idi. Tüm hastalar küretaj ve allojen kemik ile greftlendi.
BULGULAR: Hiçbir hastada ameliyat içi komplikasyona rastlanmadı. Ortalama vizüel analog skala (VAS) ağrı skoru ameliyat sonrası 4. ayda 4’ten 1’e indi ve tüm hastalar ağrısız bir kliniğe erişti. Kemik greftlerinin konsolidasyonu radyolojik olarak ortalama 4 ayda(2-6ay) görüldü. Takiplerde hiçbir hastada patolojik kırık veya nükse rastlanmadı.
SONUÇ: Semptomatik intraoseoz lipomlarda güncel tedavi yaklaşımı kistin küretaj ve greftlemesidir. Bu yöntemle hastaların tamamında tatminkar bir sonuç elde edilir.

Anahtar Kelimeler

İntraosseöz lipom, küretaj, kemik greftleme

Kaynakça

• Hart JA. Intraosseus lipoma. J Bone Joint Surg (br) 1973;55:624-32
• Manaster BJ, Disler DG, May DA, editors. Musculoskelatal imaging: the requisites. 2nd ed. Philadelphia: Mosby; 2002
• Milgram JW. Introsseous lipomas: radıologic and pathologic manifestations. Radiology 1988;167:15560
• Campbell RS. Grainger AJ. Mangham DC. et all. İntraosseous lipoma: report of 35 new cases and a review of the literature. Skelatal Radiol.2003;32:209-22
• Appenzeller J. Weitzner S. İntraosseos lipoma of calcis. Case report and review literature of intraosseous lipoma of extremities. Clin Orthop 1974;101:171-5
• Levın MF, Vellet AD, Munk PL et al. İntraosseosus lipoma of the distal femur: MRI aperance. Skeletal Radiol 1996;25:82-4 Milgram JW. İntrossous Lipomas. A clinicopathologic study of 66 cases. Clin Orthop Relat Res 1988;231:277-302
• Guntenberg B, Kindblom LG. İntrosseous lipoma. A report of two cases. Acta Orthop Scand 1978;49:95-7.
• Sahin Y. Dabak N. Selçuk MB. Bariş YS. An evaluation of eight cases of intraosseous lipoma. Acta Orthop Traumatol Turc. 2007;41:343-8.
• Radl R1, Leithner A, Machacek F, et al. Intraosseous lipoma: retrospective analysis of 29 patients. Int Orthop. 2004;28:374-8