Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
To fix or not to fix: A comparison of grafting with fixation versus grafting alone in proximal femur aneurysmal bone cysts
Joint Diseases and Related Surgery · Ocak 2025
YÖKSİS Kayıtları
To fix or not to fix: A comparison of grafting with fixation versus grafting alone in proximal femur aneurysmal bone cysts
Joint Diseases and Related Surgery · 2025 SCI-Expanded
DOÇENT SELİM SAFALI →
Makale Bilgileri
DergiJoint Diseases and Related Surgery
Yayın TarihiOcak 2025
Cilt / Sayfa36 · 358-365
Scopus ID2-s2.0-105003614920
Erişim🔓 Açık Erişim
Özet
Objectives: This study aims to evaluate whether adding internal fixation to grafting could improve radiological and functional outcomes compared to grafting alone in patients with aneurysmal bone cysts (ABCs) of the proximal femur and to investigate whether there was a significant difference between these two treatment methods in terms of the need for a second surgery. Patients and methods: Between January 2012 and January 2022, a total of 30 patients (21 males, 9 females; mean age: 13.7±5.1 years; range, 5 to 23 years) with proximal femur ABCs who underwent surgical treatment were retrospectively analyzed. Twelve of them were treated by grafting alone (Group GA), while the remaining 18 were treated by grafting along with fixation using plates and screws (Group GF). The demographic data of these patients, the need for secondary surgery, radiological and functional scores were recorded. The modified Neer Classification was used for radiological evaluations, while the Musculoskeletal Tumor Society (MSTS) scores were utilized for functional assessments. Results: Overall, the mean preoperative MSTS scores were lower than the postoperative MSTS scores in both GF and GA groups (p<0.001 and p=0.002). The postoperative radiological scores of the GF group were superior to the GA group (p=0.012). However, no significant difference was found in the postoperative MSTS scores between the groups (p=0.185). Secondary surgeries were performed in six patients in the GF group due to implant removal and in three patients in the GA group due to recurrence. No significant difference was observed between the GF group and the GA group in terms of secondary surgery (p=0.626). Comparisons of final radiological (p=0.325) and final MSTS (p=0.346) scores after secondary surgeries revealed no significant differences. Conclusion: In proximal femoral ABCs, grafting with fixation may provide more favorable radiological outcomes with lower recurrence rates. While grafting with fixation seems to increase the risk for a secondary surgery due to implant removal, our study shows that recurrence in high-risk regions can also necessitate secondary surgeries with grafting alone. Notably, both approaches can achieve successful outcomes, even with recurrent surgeries.
Yazarlar (6)
1
Ebubekir Eravşar
ORCID: 0000-0003-2940-604X
2
Ali Güleç
ORCID: 0000-0002-3110-0261
3
Selim Safali
4
Ali Özdemir
ORCID: 0000-0002-8835-9741
5
S. Ciftci
6
B. K. Aydin
Anahtar Kelimeler
Aneurysmal bone cyst
bone cysts
fixation
grafting
proximal femur
Kurumlar
Selçuk Tip Fakültesi
Konya Turkey