Treatment of persistent large cystic lesions of the humerus with vascularized fibular grafts

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dc.authoridcetin, mehmet umit/0000-0001-9827-8892
dc.authoridozcelik, ismail bulent/0000-0002-0483-4956
dc.authorscopusid57208565301
dc.authorscopusid15052599600
dc.contributor.authorÇetin, Mehmet Ümit
dc.contributor.authorÖzçelik, İsmail Bülent
dc.date.accessioned2023-04-20T08:01:13Z
dc.date.available2023-04-20T08:01:13Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjectives: In this study, we aimed to evaluate the short-to -mid-term results of the resection and reconstruction of large cystic lesions of the humerus. Patients and methods: Eight male patients (median age: 22.9 +/- 10.4 years; range, 12 to 42 years) with large cystic lesions of the humerus operated between January 2017 and December 2019 were retrospectively analyzed. The age of the patients, their previous treatments and follow-up periods, the size and location of the cysts, postoperative functional scores, presence of a union, recurrence of the cyst, and graft resorption were examined. Results: The mean follow-up was 42.8 +/- 7.5 (range, 34 to 54) months. Preoperatively, the mean length of the cystic lesions was 15.1 +/- 2.6 (range, 10 to 18) cm. At the final follow-up, the patients had a normal range of shoulder flexion-extension, internal rotation-external, abduction-adduction, and elbow flexion-extension, pronation-supination. The patients had a mean DASH score of 1.13 +/- 1.1 (range, 0 to 3.3) and MSTS score of 28.75 +/- 1.8 (range, 26 to 30) postoperatively. Complications such as pseudoarthrosis, graft resorption, or cyst recurrence were not observed in any of the patients. Conclusion: Although the risk of recurrence is low in small cystic lesions of the humerus, it increases as the size of the lesion increases. This reconstruction technique using vascularized fibular grafts, which we applied, seems to be extremely successful in ensuring biological healing and preventing recurrence and complications in patients with large cystic lesions of the humerus.
dc.identifier.doi10.52312/jdrs.2022.578
dc.identifier.endpage434
dc.identifier.issn2687-4784
dc.identifier.issn2687-4792
dc.identifier.issue2en_US
dc.identifier.pmid35852204
dc.identifier.scopus2-s2.0-85134499750
dc.identifier.scopusqualityQ2
dc.identifier.startpage426
dc.identifier.trdizinid1122862
dc.identifier.urihttps://doi.org/10.52312/jdrs.2022.578
dc.identifier.urihttps://hdl.handle.net/20.500.11776/10804
dc.identifier.volume33
dc.identifier.wosWOS:000828685100022
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorÇetin, Mehmet Ümit
dc.language.isoen
dc.publisherTurkish Joint Diseases Foundation
dc.relation.ispartofJoint Diseases and Related Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCystic Cystic Lesions
dc.subjectHumerus
dc.subjectVascularized Fibula Graft
dc.subjectAneurysmal Bone-Cyst
dc.subjectReconstruction
dc.subjectResection
dc.subjectDefects
dc.titleTreatment of persistent large cystic lesions of the humerus with vascularized fibular grafts
dc.typeArticle

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