An Evaluation Surgical Treatment of Intraosseous Lipoma Our Cases

OBJECTIVE: In this study, we evaluated the retrospective analysis of 12 patients with the diagnosis of intraosseos lipoma, who were surgically treated between 2008-2013.
METHODS: Seven of the patients were male and 5 were female. Four of the cysts were in tibia, 3 were in calcaneus, 2 in humerus, one in talus, one in distal femur and one in acetabulum.
RESULTS: All the patients were treated with curretage and allogenic bone grafting. No intraoperative complications were recorded. The median visual analog score (VAS) was decreased from 4 to 1 at the postoperative 4th month and all the patients were pain free. The complete consolidation of the grafts radiologically was recorded in 4 (2-6) months. No pathological fractures or recurrences were encountered.
CONCLUSION: Curretage and bone grafting is an actual teratment modality in the treatment of symptomatic intraosseous bone cysts.

Ýntraosseoz Lipomlu Olgularýmýzdaki Cerrahi Tedavi Sonuçlarýmýz

AMAÇ: Bu çalýþmada, intraosseöz lipom tanýsý almýþ olan ve cerrahi olarak tedavi edilmiþ 12 hastanýn retrospektif analizi incelenmiþtir.
YÖNTEMLER: Hastalarýn 7’si erkek, 5’i kadýn idi. Kistlerin 4’ü tibiada, 3’ü kalkaneusta, 2’si humerusta, biri talusta, biri femur distalinde ve biri asetabulumda idi. Tüm hastalar küretaj ve allojen kemik ile greftlendi.
BULGULAR: Hiçbir hastada ameliyat içi komplikasyona rastlanmadý. Ortalama vizüel analog skala (VAS) aðrý skoru ameliyat sonrasý 4. ayda 4’ten 1’e indi ve tüm hastalar aðrýsýz bir kliniðe eriþti. Kemik greftlerinin konsolidasyonu radyolojik olarak ortalama 4 ayda(2-6ay) görüldü. Takiplerde hiçbir hastada patolojik kýrýk veya nükse rastlanmadý.
SONUÇ: Semptomatik intraoseoz lipomlarda güncel tedavi yaklaþýmý kistin küretaj ve greftlemesidir. Bu yöntemle hastalarýn tamamýnda tatminkar bir sonuç elde edilir.