Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature

It has always been a challenge to reconstruct large bone gaps. The aim of this case report is to highlight the success of homologous maternal bone grafting in a large cystic lesion. A six and half years old boy presented to us with an aneurysmal bone cyst (ABC) of the right radius, not amenable to c...

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Main Authors: Ansari Mohammed Tahir, Gautam Deepak, Kotwal Prakash P.
Format: Article
Language:English
Published: EDP Sciences 2016-01-01
Series:SICOT-J
Subjects:
Online Access:http://dx.doi.org/10.1051/sicotj/2015043
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author Ansari Mohammed Tahir
Gautam Deepak
Kotwal Prakash P.
author_facet Ansari Mohammed Tahir
Gautam Deepak
Kotwal Prakash P.
author_sort Ansari Mohammed Tahir
collection DOAJ
description It has always been a challenge to reconstruct large bone gaps. The aim of this case report is to highlight the success of homologous maternal bone grafting in a large cystic lesion. A six and half years old boy presented to us with an aneurysmal bone cyst (ABC) of the right radius, not amenable to curettage. We excised the lesion in toto, which created an 11 cm bone loss. Considering the age of the patient, we reconstructed the bone gap with maternal fibular graft. Accordingly, 12 cm of fibular graft was harvested and fashioned to fit into the bone gap. It was fixed with an intramedullary K-wire. No cancellous graft was used in the procedure. The limb was kept in the above elbow cast till incorporation of the fibula was noted on the radiographs. Six months following surgery the skiagram showed that the fibula was incorporated. Mobilization of the elbow and wrist was started along with strengthening of the forearm muscles. K-wire was removed at nine months. At the latest follow up of 24 months, the fibula is fully incorporated, the child regained full range of motion and strength of elbow. We discuss the techniques adopted in this particular case along with the review of literature.
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spelling doaj.art-7842096e1ba24cf689f14381fde345242022-12-21T18:15:15ZengEDP SciencesSICOT-J2426-88872016-01-0121810.1051/sicotj/2015043sicotj150101Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literatureAnsari Mohammed TahirGautam DeepakKotwal Prakash P.It has always been a challenge to reconstruct large bone gaps. The aim of this case report is to highlight the success of homologous maternal bone grafting in a large cystic lesion. A six and half years old boy presented to us with an aneurysmal bone cyst (ABC) of the right radius, not amenable to curettage. We excised the lesion in toto, which created an 11 cm bone loss. Considering the age of the patient, we reconstructed the bone gap with maternal fibular graft. Accordingly, 12 cm of fibular graft was harvested and fashioned to fit into the bone gap. It was fixed with an intramedullary K-wire. No cancellous graft was used in the procedure. The limb was kept in the above elbow cast till incorporation of the fibula was noted on the radiographs. Six months following surgery the skiagram showed that the fibula was incorporated. Mobilization of the elbow and wrist was started along with strengthening of the forearm muscles. K-wire was removed at nine months. At the latest follow up of 24 months, the fibula is fully incorporated, the child regained full range of motion and strength of elbow. We discuss the techniques adopted in this particular case along with the review of literature.http://dx.doi.org/10.1051/sicotj/2015043Aneurysmal bone cystMaternal bone grafting
spellingShingle Ansari Mohammed Tahir
Gautam Deepak
Kotwal Prakash P.
Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
SICOT-J
Aneurysmal bone cyst
Maternal bone grafting
title Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
title_full Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
title_fullStr Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
title_full_unstemmed Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
title_short Mother’s fibula in son’s forearm: use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage – a case report with review of literature
title_sort mother s fibula in son s forearm use of maternal bone grafting for aneurysmal bone cyst not amenable to curettage a case report with review of literature
topic Aneurysmal bone cyst
Maternal bone grafting
url http://dx.doi.org/10.1051/sicotj/2015043
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