scholarly journals Intraosseous Ganglion of the Distal Tibia: Clinical, Radiological, and Operative Management

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Sedeek Mohamed Sedeek ◽  
Q. Choudry ◽  
S. Garg
Keyword(s):  
Cancellous Bone ◽  
Bone Grafting ◽  
Distal Tibia ◽  
Operative Management ◽  
Cystic Lesions ◽  
Cancellous Bone Grafting ◽  
Intraosseous Ganglion ◽  
Initial Surgery ◽  
Ganglion Cysts

Intraosseous ganglia are benign cystic lesions located in the subchondral bone. Intraosseous ganglion cysts of the ankle are relatively uncommon. We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery. She was treated effectively by curettage and autogenous cancellous bone grafting. At the final follow-up, satisfactory results were obtained with no recurrence or complications.

Surgical Treatment of an Aneurysmal Bone Cyst in a Dog

1995 ◽  
Vol 08 (04) ◽  
pp. 213-217 ◽  
Author(s):  
J. N. Chambers ◽  
S. M. Newell ◽  
J. M. Duval
Keyword(s):  
Surgical Treatment ◽  
Cancellous Bone ◽  
Aneurysmal Bone Cyst ◽  
Bone Grafting ◽  
Bone Cyst ◽  
Distal Tibia ◽  
Bone Cysts ◽  
Cancellous Bone Grafting ◽  
Lytic Lesions ◽  
Aneurysmal Bone Cysts

Aneurysmal bone cysts are benign but locally aggressive lytic lesions of bone. Surgical curettage and cancellous bone grafting resulted in complete clinical and partial radiographic resolution of an aneurysmal bone cyst of the distal tibia.

Mid-term outcome of volar plate fixation for scaphoid nonunion

2020 ◽  
Vol 102-B (12) ◽  
pp. 1697-1702
Author(s):  
Philip Marcel Jozef Schormans ◽  
Maria A. Kooijman ◽  
Jan A. Ten Bosch ◽  
Martijn Poeze ◽  
Pascal F. W. Hannemann
Keyword(s):  
Functional Outcome ◽  
Cancellous Bone ◽  
Bone Grafting ◽  
Locking Plate ◽  
Plate Fixation ◽  
Ct Scans ◽  
Scaphoid Nonunion ◽  
Cancellous Bone Grafting ◽  
The Mean

Aims Fixation of scaphoid nonunion with a volar locking plate and cancellous bone grafting has been shown to be a successful technique in small series. Few mid- or long-term follow-up studies have been reported. The aim of this study was to report the mid-term radiological and functional outcome of plate fixation for scaphoid nonunion. Methods Patients with a scaphoid nonunion were prospectively enrolled and treated with open reduction using a volar approach, debridement of the nonunion, and fixation using a locking plate and cancellous bone grafting, from the ipsilateral iliac crest. Follow-up included examination, functional assessment using the patient-rated wrist/hand evaluation (PRWHE), and multiplanar reformation CT scans at three-month intervals until union was confirmed. Results A total of 49 patients with a mean age of 31 years (16 to 74) and a mean duration of nonunion of 3.6 years (0.4 to 16) were included. Postoperatively, the nonunion healed in 47 patients (96%) as shown on CT scans. The mean time to union was 4.2 months (3 to 12). Due to impingement of the plate on the volar rim of the radius and functional limitation, the hardware was removed in 18 patients. At a median follow-up of 38 months in 34 patients, the mean active range of motion (ROM) improved significantly from 89° to 124° (SD 44°; p = 0.003). The mean grip strength improved significantly from 52% to 79% (SD 28%; p < 0.001) of the contralateral side. The mean PRWHE score improved significantly from 66 to 17 points (SD 25; p < 0.001). Conclusion Locking plate fixation supplemented with autologous cancellous bone grafting is a successful form of treatment for scaphoid nonunion. Functional outcomes improve with the passage of time, and mid-term results are excellent with a significant improvement in ROM, grip strength, and functional outcome as measured by the PRWHE. Cite this article: Bone Joint J 2020;102-B(12):1697–1702.

Rigid Internal Fixation of Basilar Fractures of the Proximal Phalanges by Cancellous Bone Grafting Only

2001 ◽  
Vol 26 (5) ◽  
pp. 455-458 ◽  
Author(s):  
M. STRICKLER ◽  
L. NAGY ◽  
U. BÜCHLER
Keyword(s):  
Return To Work ◽  
Internal Fixation ◽  
Cancellous Bone ◽  
Bone Healing ◽  
Bone Grafting ◽  
Cancellous Bone Grafting ◽  
Rigid Internal Fixation ◽  
Secondary Displacement

Ten patients with 13 basilar metaphyseal impaction fractures of the proximal phalanges of the fingers were treated with “rigid internal fixation” by bone grafting alone. When retrospectively reviewed at a mean follow-up of 32 months, bone healing had occurred without any relevant secondary displacement of the fracture fragments. The final ranges of motion were good and return to work was quicker than expected.

scholarly journals Arthroscopic Treatment of Symptomatic Congenital Lunotriquetral Coalition

2018 ◽  
Vol 07 (04) ◽  
pp. 341-343 ◽  
Author(s):  
Benoit Mariotte ◽  
Gilles Candelier ◽  
Thomas Apard
Keyword(s):  
Conservative Treatment ◽  
Cancellous Bone ◽  
Bone Grafting ◽  
Open Surgery ◽  
Arthroscopic Treatment ◽  
Cancellous Bone Grafting ◽  
Left Wrist

AbstractSymptomatic lunotriquetral coalition is very rare and need open surgery after failure of conservative treatment. We report a case of a symptomatic congenital lunotriquetral coalition type 1 according to the Minaar classification, at the left wrist of a 14-year-old boy. We performed an arthroscopic treatment with two compression screws and without cancellous bone grafting. Healing was obtained at 2 months postoperatively.

Economic impact of cancellous bone grafting in trauma surgery

2007 ◽  
Vol 127 (5) ◽  
pp. 345-348 ◽  
Author(s):  
Holger Lohmann ◽  
Guido Grass ◽  
Christoph Rangger ◽  
Guenther Mathiak
Keyword(s):  
Economic Impact ◽  
Cancellous Bone ◽  
Bone Grafting ◽  
Trauma Surgery ◽  
Cancellous Bone Grafting

Surgical management of an isolated symptomatic talonavicular coalition: a paediatric perspective

2021 ◽  
Vol 14 (11) ◽  
pp. e243761
Author(s):  
Keval Patel ◽  
Abdullah Khawaja ◽  
Aman Patel ◽  
Michail Kokkinakis
Keyword(s):  
Paediatric Patient ◽  
Reconstructive Surgery ◽  
Bone Grafting ◽  
Iliac Crest ◽  
Early Stage ◽  
Operative Management ◽  
Lateral Column ◽  
Iliac Crest Bone Grafting ◽  
Lateral Column Lengthening

Talonavicular (TN) coalition is a rare pathological union of the talus and navicular bones. We report the case of a 7-year-old girl with a symptomatic TN coalition, who underwent operative management with a lateral column lengthening procedure using autologous iliac crest bone grafting. There are no complications to report and the graft was incorporated at an early stage. At 3 year follow-up the patient has remained pain-free since the operation and maintained alignment. To our knowledge, this is the first reported case of TN coalition treated with reconstructive surgery in a paediatric patient.

scholarly journals The Fate of Bone Graft for Periprosthetic Osteolysis in Total Ankle Arthroplasty

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0000 ◽  
Author(s):  
Yoo Jung Park ◽  
Dong-Woo Shim ◽  
Yeokgu Hwang ◽  
Jin Woo Lee
Keyword(s):  
Clinical Outcome ◽  
Bone Graft ◽  
Bone Grafting ◽  
Distal Tibia ◽  
Total Ankle Arthroplasty ◽  
Implant Failure ◽  
Periprosthetic Osteolysis ◽  
Aofas Score ◽  
Ankle Arthroplasty

Category: Ankle Arthritis Introduction/Purpose: Periprosthetic osteolysis in total ankle arthroplasty (TAA) is a substantial problem. It may cause implant failure and has potential to affect long-term implant survival. To prevent major revisional arthroplasty, it is important to make an early diagnosis of osteolysis and decide an appropriate timing of surgical intervention such as bone graft. We report our experience of bone graft for osteolysis after TAA associated with clinical and radiologic outcome. Methods: Between May 2004 and Oct. 2013, 238 primary TAA were performed on 219 patients. We excluded 37 ankles with follow-up less than 24 months; thus, 201 ankles in 185 patients with mean follow-up of 61.9 (range, 24-130) months were included in the study. Nineteen patients were treated with a total of 21 bone graft procedures for periprosthetic osteolysis after TAA. Of these patients, 12 (57.1%) were males with mean follow-up length after bone graft 35.0 months. Location of osteolysis, bone grafting method and clinical outcome parameters using visual analog scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score were recorded. Results: Radiographs revealed total of 62 osteolysis lesions in 19 patients; 35 (56.5%) distal tibial lesions, 23 (37.0%) talar lesions. Autogenous iliac bone graft was used in 18 procedures (85.7%). The mean scores (and standard deviation) improved for the VAS from 4.8 ± 1.23 points before bone graft to 3.0 ± 0.94 points at the last follow-up (p<0.05); and for the AOFAS score from 76.8 ± 5.9 before bone graft to 84.3 ± 4.5 at the last follow-up (p<0.05). After 21 bone graft procedures, 6 demonstrated detection of newly developed osteolysis. One patient needed a repeat bone graft procedure with cementation after the primary bone grafting due to large cyst on distal tibia. There was no implant failure or major revisions after the bone graft. Conclusion: Bone graft for periprosthetic osteolysis may improve patient’s clinical outcome and give support to the structures surrounding the implant. Bone grafting in optimal timing may also improve implant survivorship. However, further study is needed for the etiology of newly developed painless osteolysis even after the bone graft.

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