Semistructural allografting in bone defects after curettage

Shih, Hong-Mo; Chen, Yeung Jen; Huang, Tiao‐Lai; Hsu, Kuo-Yao; Hsu, Robert Wen Wei

doi:10.1002/(sici)1096-9098(199807)68:3<159::aid-jso5>3.0.co;2-4

Cited by 24 publications

(23 citation statements)

References 24 publications

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“…Concluyeron en que, para los grandes defectos óseos, la técnica reconstructiva utilizando aloinjerto proporciona una mayor resistencia, una fijación fácil y la remodelación del defecto quístico, si bien se produce lentamente. 23 En un paciente de nuestra serie, con una gran lesión diafisometafisaria proximal de húmero, se utilizó, además del aloinjerto, injerto autólogo de peroné no vascularizado para rellenar el defecto óseo. Los injertos no vascularizados de peroné son técnicamen-te más fáciles de usar que los injertos vascularizados y ofrecen un excelente soporte estructural óseo en el receptor.…”

Section: Discussionunclassified

Tratamiento de quistes óseos aneurismáticos con aloinjerto. [Treatment of aneurysmal bone cysts with allograft.]

Nùñez

Chelle²,

Fajardo³

et al. 2016

Rev. Asoc. Arg. Ort. y Traumatol

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ResumenAntecedentes: Los pacientes con quiste óseo aneurismático plantean dificultades diagnósticas y terapéuticas. Se han descrito múltiples opciones terapéuticas. Objetivos: Evaluar los resultados obtenidos en pacientes tratados con curetaje y relleno con aloinjerto óseo. Materiales y Métodos: Se analizaron 16 quistes, correspondientes a 15 pacientes, con un seguimiento mínimo de 28 meses y una mediana de seguimiento de 83 meses. Resultados: La media de la edad era de 10 años (rango 3-16). La principal complicación fue la recidiva (37,5%), que fue más frecuente cuando existía compromiso fisario (62,5% frente al 12,5% sin compromiso; p = 0,05). La frecuencia de recidiva no varió en ambos sexos, para las distintas edades analizadas y respecto al uso o no de fresa de alta velocidad. Conclusión: Consideramos que el tratamiento realizado es seguro, pero tiene una alta tasa de recidivas, similar a las publicadas en otras series.Palabras clave: Quiste óseo aneurismático; aloinjerto. Nivel de Evidencia: IV Treatment of aneurysmal bone cysts with allograft AbstractBackround: Patients with aneurysmal bone cyst pose diagnostic and therapeutic difficulties. Multiple therapeutic options have been described. Objective: To evaluate the results obtained in patients treated with curettage and filling with bone allograft. Methods: Sixteen cysts, corresponding to 15 patients were evaluated, with a minimum follow-up of 28 months and a median follow-up of 83 months. Results: Average age was 10 years (range 3-16). The main complication was recurrence in 37.5% of patients, being more frequent with physeal involvement (62.5% vs. 12.5% without involvement; p = 0.05). The recurrence rate was unchanged for both sexes, for different ages and regarding the use or not of high-speed burr. Conclusion: We think that the treatment performed is safe, but recurrence rate is high, similar to that reported in other series.

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Section: Discussionunclassified

Tratamiento de quistes óseos aneurismáticos con aloinjerto. [Treatment of aneurysmal bone cysts with allograft.]

Nùñez

Chelle²,

Fajardo³

et al. 2016

Rev. Asoc. Arg. Ort. y Traumatol

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“…Only a few authors have considered activity level when determining the appropriate degree of intervention for benign bone lesions [8,12,17]. In a series of 104 patients with various lesions, Shih et al [17] used internal fixation along with curettage and grafting for all ''active'' patients with lower extremity lesions.…”

Section: Discussionmentioning

confidence: 99%

“…In a series of 104 patients with various lesions, Shih et al [17] used internal fixation along with curettage and grafting for all ''active'' patients with lower extremity lesions. Drennan et al [8] similarly suggested prophylactic curettage and grafting for lower extremity lesions in ''active adolescents.''…”

Section: Discussionmentioning

confidence: 99%

Curettage and Graft Alleviates Athletic-Limiting Pain in Benign Lytic Bone Lesions

Moretti

Slotcavage

Crawford

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…After a mean 13 months of follow-up, 21 of 23 (91%) patients had a good or excellent clinical and radiographic outcome with no major complications. Shih and colleagues 47 treated 104 patients with long bone defects with curettage and allografts. Good or excellent functional results were reported in 97% of patients after 4 years with no local recurrence or graft fracture and only a single complication.…”

Section: Allograftmentioning

confidence: 99%

Perspectives on the clinical utility of allografts for bone regeneration within osseous defects: a narrative review

Miller¹,

Block²

2011

ORR

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A variety of bone grafts and bone graft substitutes is available for treatment of osseous defects although adequate reconstruction of the residual void following fracture, arthroplasty, or tumor/cyst resection remains a therapeutic challenge. This narrative review evaluates the peer-reviewed literature and examines relevant outcomes in patients treated with bone grafts and bone graft substitutes for surgical management of osseous defects. Although autograft, xenograft, and ceramic bone graft substitutes are used for a variety of orthopedic applications, they have distinct limitations in clinical practice. Bone allograft material is a safe and effective adjunct to treatment of osseous defects.

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Semistructural allografting in bone defects after curettage

Cited by 24 publications

References 24 publications

Tratamiento de quistes óseos aneurismáticos con aloinjerto. [Treatment of aneurysmal bone cysts with allograft.]

Tratamiento de quistes óseos aneurismáticos con aloinjerto. [Treatment of aneurysmal bone cysts with allograft.]

Curettage and Graft Alleviates Athletic-Limiting Pain in Benign Lytic Bone Lesions

Perspectives on the clinical utility of allografts for bone regeneration within osseous defects: a narrative review

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