Arthroscopic Debridement of a Talar Cyst and Bone Grafting with the Osteochondral Autograft Transfer System

2017 ◽  
Vol 107 (6) ◽  
pp. 541-547 ◽  
Author(s):  
Nobuaki Chinzei ◽  
Noriyuki Kanzaki ◽  
Takaaki Fujishiro ◽  
Shinya Hayashi ◽  
Shingo Hashimoto ◽  
...  
Keyword(s):  
Bone Tumors ◽  
Bone Cyst ◽  
Transfer System ◽  
Arthroscopic Debridement ◽  
Primary Bone Tumors ◽  
Osteochondral Autograft ◽  
Tarsal Bones ◽  
Osteochondral Autograft Transfer ◽  
Conventional Open Surgery ◽  
Bone Plug

Simple bone cysts compose approximately 3% of all primary bone tumors and most commonly occur in the metaphyseal regions of the proximal humerus and femur. The percentage of the talus with suspected bone tumors is reported to be 0.003%. Therefore, talar cysts are rare but sometimes present as aggressive lesions, and they can affect any of the tarsal bones. Recently, an arthroscopic approach to these lesions has been developed that is less invasive than conventional open surgery. In the present case study, we profile a 65-year-old female patient who received arthroscopic debridement of a bone cyst from the medial aspect of the talus with the osteochondral autograft transfer system (OATS). By using the OATS core harvester, we penetrated into the tumor. After the cylindrical bone plug was pulled out, the tumor was removed and artificial bone granules were firmly packed into the cavity with intralesional arthroscopy. Then, the cylindrical bone plug previously harvested by OATS was implanted at the site with careful precision. This intervention resulted in a relative restoration of talar dome anatomy and ultimately restored the patient to activity with minimal discomfort. Therefore, arthroscopic debridement with OATS has the potential to be a useful option in dealing with debilitating osteochondral cystic lesions.

scholarly journals Strategies for managing the destruction of calcar femorale

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jin Mei ◽  
Lili Pang ◽  
Zhongchao Jiang
Keyword(s):  
Proximal Femur ◽  
Bone Tumors ◽  
Bone Cyst ◽  
Treatment Strategies ◽  
Femoral Neck Fractures ◽  
Anatomical Structure ◽  
Pathological Fractures ◽  
Main Text ◽  
Primary Bone Tumors ◽  
Primary Bone

Abstract Background The calcar femorale was identified long ago. However, our current understanding of the calcar is insufficient, and its related concepts are sometimes confused. The calcar femoral is an important anatomical structure of the proximal femur, and its function can be overlooked. In trauma, tumors, or other diseases, the calcar femorale can be destroyed or changed pathologically. As a result, the mechanical structure of the proximal femur becomes destroyed, causing pathological fractures. How to address the destruction of the calcar femorale or the damage to the calcar femorale is discussed in this article. Main text Destruction of the calcar femorale is accompanied by many conditions, including trauma, tumors, and other diseases. The types of hip fractures caused by trauma include femoral neck fractures and intertrochanteric fractures. Dynamic hip screws, proximal femoral nail anti-rotation, and multiple parallel cannulate pins can be used in different conditions. When metastatic and primary bone tumors involve the calcar femorale, endoprostheses are widely used. Other diseases, such as fibrous dysplasia and aneurysmal bone cyst are treated differently. Conclusions The calcar femorale can redistribute stresses and the destruction of the calcar femorale can lead to an increase in posterior medial stress. Many factors need to be considered when deciding whether to reconstruct the calcar femorale. Effective treatment strategies for managing the destruction of calcar femorale will need first establishing the precise mechanism of the destruction of the calcar and then designing therapies towards these mechanisms. Further investigation to the calcar needs to be carried out.

scholarly journals Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report

2021 ◽  
Vol 5 (2) ◽  
pp. 10-14
Author(s):  
João Soares do Vale ◽  
◽  
Sara Diniz ◽  
Filipe Rodrigues ◽  
◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Tumors ◽  
Bone Cyst ◽  
Bone Cysts ◽  
Chondromyxoid Fibroma ◽  
Primary Bone Tumors ◽  
Rare Association ◽  
Cartilaginous Tumor ◽  
Aneurysmal Bone Cysts ◽  
Primary Bone

Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus

Sarcomatous Transformation of Unicentric Calcaneal Epithelioid Hemangioendothelioma: A Case Report with Review of Literature

2020 ◽  
Vol 2 ◽  
pp. 77-81
Author(s):  
Garima Sharma ◽  
Sudhir Saxena ◽  
A. Venkat Subbaih
Keyword(s):  
Bone Tumors ◽  
Soft Tissues ◽  
Surgical Excision ◽  
Epithelioid Hemangioendothelioma ◽  
Lytic Lesion ◽  
Prior History ◽  
Primary Bone Tumors ◽  
Tarsal Bones ◽  
Vascular Origin ◽  
Grade Malignancy

Vascular origin tumors of bone are rare entities. Epithelioid hemangioendothelioma (EHE) is a rare tumor representing <1% of primary bone tumors and is considered a low to intermediate grade malignancy. Literature describes cases which were either a part of multicentric disease or were metastatic. In this study, we reported a case of a 23-year-old female with biopsy-proven EHE with prior history of resection, presenting with recurrence of disease. Radiographs showed a lytic lesion involving the left calceneum and other tarsal bones with extensive soft-tissue component. Magnetic resonance imaging revealed an ill-defined, enhancing, lobular, and lytic lesion with adjacent soft-tissues component. Computed tomography confirmed extensive destruction of the involved tarsal bones. EHE is treated with wide surgical excision and recurrence is rare; however, our case presented with recurrence as well as thoracic metastasis which posed a great clinical challenge. The patient was treated with below knee amputation and was given subsequent radiotherapy. The main aim of this study is to revisit the clinicopathological aspects as well as the spectral behavior of vascular bone tumors.

scholarly journals Long-term evaluation of Primary Osteochondral Autograft Transfer System (OATS) for large cystic type osteochondral lesion of talus

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0044
Author(s):  
Dong Woo Shim ◽  
Yeokgu Hwang ◽  
Kwang Hwan Park ◽  
Jin Woo Lee ◽  
Seung Hwan Han
Keyword(s):  
Defect Size ◽  
Transfer System ◽  
Aofas Score ◽  
Plain Radiographs ◽  
Osteochondral Autograft ◽  
Osteochondral Autograft Transfer ◽  
The Mean ◽  
Cystic Type

Category: Ankle Introduction/Purpose: Osteochondral lesions of talus (OLTs) are often treated primarily by fragment excision, abrasion, drilling, or microfracture. However, OLT accompanying with large cyst has been challenged to yield good outcome nevertheless of many surgical options. Recent study showed significant high failure rate of arthroscopic marrow stimulation treatment larger than 150mm2. The current study is to investigate the outcome of the primary osteochondral autograft transfer system (OATS) for large cystic type OLT (>150mm2). Methods: This retrospective analysis included 19 talus (19 patients) with diagnosed large cystic type OLT (>150mm2) who received primary OATS between September 2009 and March 2013. Defect size area was measured on magnetic resonance imaging (MRI) by the ellipse formula from coronal and sagittal length. The patients completed the visual analog scale (VAS) and the American Orthopaedic Foot & Ankle Society (AOFAS) score preoperatively and at follow-up. Plain radiographs were used to show the improvement of radiolucency postoperatively. Results: The mean follow up period was 83.9 months (57 – 99) and the average defect size area was 169.4 mm2 (151.3 – 392.6). The Mean VAS score decreased from 6.95 preoperatively to 2.6 postoperatively. Average AOFAS score improved from 66.8 preoperatively to 88.7 postoperatively. Eighty percent of patients rated their result excellent or good. The radiolucent area of the cysts disappeared on the plain radiographs in all cases. Conclusion: Long-term clinical results of primary OATS in large cystic type OLT showed good outcomes and patients could significantly benefit from this surgery.

Clinical Tip: Retrograde Osteochondral Autograft Transfer System

2007 ◽  
Vol 28 (11) ◽  
pp. 1200-1203 ◽  
Author(s):  
Dominic S. Carreira ◽  
Pierce E. Scranton Jr
Keyword(s):  
Transfer System ◽  
Osteochondral Autograft ◽  
Osteochondral Autograft Transfer
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