Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?
Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 210 - 217 Metin Dili: İngilizce DOI: 10.5606/ehc.2020.75064 İndeks Tarihi: 05-06-2021
Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?
Öz: Objectives: Thisstudyaimstodefinethesimultaneousprophylactic fixation indications of benign tumors and tumor-like lesions located in long bones that were treated by curettage and grafting/cementing.Patients and methods: Fifty-six patients (33 males, 23 females; mean age 30.9±15.9; range, 15 to 65 years) who were treated by curettage and grafting or cementation for their benign tumors or tumor-like lesions in long bones between January 2013 and June 2016 were retrospectively analyzed. Age, sex, anamnesis and physical examination findings, histopathologic diagnosis, lesion localization, pre- and postoperative imaging results and follow-up data were all analyzed. The patients were divided into two groups as those with and without postoperative fracture.Results: The most common localization was femur (38%). The mean tumor diameter was 6.8±2.2 (range, 2.6 to 12.6) cm and volume was 58.3±45.0 (range, 6 to 177) cm3. Postoperative fracture occurred in 14 patients. The lesion diameter and volume of the patients in postoperative fracture group were significantly higher compared to group without postoperative fracture (p=0.034 and p=0.004, respectively). A volume value greater than 67 cm3 and ages over 35 years were found to be associated with a higher rate of fracture for all lesions.Conclusion: In the postoperative period, patients with benign tumors or tumor-like lesions of long bones had a higher fracture risk if the volume value was greater than 67 cm3 and the age was over 35 years. Prophylactic fixation may be suggested for these patients.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Piccioli A, Ventura A, Maccauro G, Spinelli MS, Del Bravo V, Rosa MA. Local adjuvants in surgical management of bone metastases. Int J Immunopathol Pharmacol 2011;24(1 Suppl 2):129-32.
- 2. Aydın M, Toğral G, Kekeç F, Arıkan M, Güngör Ş. Painful, pediatric sacral aneurysmal bone cyst treated by curettage and fresh frozen allograft. Eklem Hastalik Cerrahisi 2016;27:103-7.
- 3. Kadhim M, Thacker M, Kadhim A, Holmes L Jr. Treatment of unicameral bone cyst: systematic review and meta analysis. J Child Orthop 2014;8:171-91.
- 4. Gupta SP, Garg G. Curettage with cement augmentation of large bone defects in giant cell tumors with pathological fractures in lower-extremity long bones. J Orthop Traumatol 2016;17:239-47.
- 5. Akdeniz H, Atalay İB, Kaya V, Özanlağan E, Toğral G. Surgery and functional results of pathological fractures of long bones of lower extremities in malignant tumors. Acta Oncol Tur 2016:49;13-20.
- 6. Mjöberg B, Pettersson H, Rosenqvist R, Rydholm A. Bone cement, thermal injury and the radiolucent zone. Acta Orthop Scand 1984;55:597-600.
- 7. Kornah B, Safwat H, Ghany TA, AAl MA, Saleem N. Prophylactic fixation of impending fractures. MOJ Orthop Rheumatol 2016;6:00206.
- 8. Hirn M, de Silva U, Sidharthan S, Grimer RJ, Abudu A, Tillman RM, et al. Bone defects following curettage do not necessarily need augmentation. Acta Orthop 2009;80:4-8.
- 9. Yanagawa T, Watanabe H, Shinozaki T, Takagishi K. Curettage of benign bone tumors without grafts gives sufficient bone strength. Acta Orthop 2009;80:9-13.
- 10. Prosser GH, Baloch KG, Tillman RM, Carter SR, Grimer RJ. Does curettage without adjuvant therapy provide low recurrence rates in giant-cell tumors of bone? Clin Orthop Relat Res 2005;435:211-8.
- 11. Atik OŞ. What are the expectations of an editor from a scientific article? Jt Dis Relat Surg 2020;31:597-8.
- 12. Kundu ZS, Gupta V, Sangwan SS, Rana P. Curettage of benign bone tumors and tumor like lesions: A retrospective analysis. Indian J Orthop 2013;47:295-301.
- 13. Zekry KM, Yamamoto N, Hayashi K, Takeuchi A, Alkhooly AZAA, Abd-Elfattah AS, et al. Treatment of the benign lytic lesions of the proximal femur with synthetic bone graft. J Orthop Surg Res 2018;13:270.
- 14. Bozkurt HH, Tokgöz MA, Yapar A, Atik OŞ. What is the importance of canal-to-diaphysis ratio on osteoporosis-related hip fractures? Eklem Hastalik Cerrahisi 2019;30:296-300
APA | TOGRAL G, Yapar A, Tolunay T (2021). Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. , 210 - 217. 10.5606/ehc.2020.75064 |
Chicago | TOGRAL GURAY,Yapar Aliekber,Tolunay Tolga Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. (2021): 210 - 217. 10.5606/ehc.2020.75064 |
MLA | TOGRAL GURAY,Yapar Aliekber,Tolunay Tolga Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. , 2021, ss.210 - 217. 10.5606/ehc.2020.75064 |
AMA | TOGRAL G,Yapar A,Tolunay T Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. . 2021; 210 - 217. 10.5606/ehc.2020.75064 |
Vancouver | TOGRAL G,Yapar A,Tolunay T Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. . 2021; 210 - 217. 10.5606/ehc.2020.75064 |
IEEE | TOGRAL G,Yapar A,Tolunay T "Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?." , ss.210 - 217, 2021. 10.5606/ehc.2020.75064 |
ISNAD | TOGRAL, GURAY vd. "Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?". (2021), 210-217. https://doi.org/10.5606/ehc.2020.75064 |
APA | TOGRAL G, Yapar A, Tolunay T (2021). Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. Joint diseases and related surgery, 32(1), 210 - 217. 10.5606/ehc.2020.75064 |
Chicago | TOGRAL GURAY,Yapar Aliekber,Tolunay Tolga Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. Joint diseases and related surgery 32, no.1 (2021): 210 - 217. 10.5606/ehc.2020.75064 |
MLA | TOGRAL GURAY,Yapar Aliekber,Tolunay Tolga Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. Joint diseases and related surgery, vol.32, no.1, 2021, ss.210 - 217. 10.5606/ehc.2020.75064 |
AMA | TOGRAL G,Yapar A,Tolunay T Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. Joint diseases and related surgery. 2021; 32(1): 210 - 217. 10.5606/ehc.2020.75064 |
Vancouver | TOGRAL G,Yapar A,Tolunay T Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?. Joint diseases and related surgery. 2021; 32(1): 210 - 217. 10.5606/ehc.2020.75064 |
IEEE | TOGRAL G,Yapar A,Tolunay T "Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?." Joint diseases and related surgery, 32, ss.210 - 217, 2021. 10.5606/ehc.2020.75064 |
ISNAD | TOGRAL, GURAY vd. "Which one of the benign tumors and tumor-likelesions located in long bones needs prophylactic fixation during surgery?". Joint diseases and related surgery 32/1 (2021), 210-217. https://doi.org/10.5606/ehc.2020.75064 |