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Orthopaedic Proceedings
Vol. 92-B, Issue SUPP_III | Pages 455 - 455
1 Jul 2010
Başbozkurt M Yurttaş Y Yıldız C Kürklü M Demiralp B
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The authors aim to report the long-term follow-up experience in the reconstruction of bony defects by Ilizarov’s distraction osteogenesis using bone transport method following en bloc resection of bone tumors.

En bloc resection was performed nine patients with bone tumors between October 1991–January 2000. The mean age of the patients was 19.3 years. Histological diagnosis was osteosarcoma in four cases, Ewing sarcoma in two cases, giant cell tumor (aggressive) in one, osteofibrous dysplasia (latent) in one and osteoblastoma (aggressive) in one case.

The average follow-up period was 122 months and bone defect after resection was 14 cm. The function of the affected leg was excellent in four patients, good in two and poor in one patient according to the modified system of the MSTS. In the case where reconstruction of the ulna was done, MSTS score was excellent and DASH skoru was 2.5.

We imply that in patients with long life expectancies, reconstruction with distraction osteogenesis seems to be an efficient method in the long-term follow up, on condition that its complications are promptly managed.


Orthopaedic Proceedings
Vol. 92-B, Issue SUPP_III | Pages 447 - 447
1 Jul 2010
Yurttaş Y Başbozkurt M Kürklü M Yıldız C Özkan H Bilgiç S
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Echinococcal cysts are mostly found in the liver followed by the lungs, spleen, ovaries, kidneys, brain, bones and heart, but rarely elsewhere in the body. Disease can take place either directly from contact with infected dogs or indirectly from the ingestion of contaminated water or food. Skeletal disease is rare and is usually due to secondary extension after haematogenous spread of the infection.

We present a case of hydatid cyst involving superior and inferior pubic ramus and retrorectal space in a 22 years old male patient, which is not a common site for the occurrence of this disease. Total cystectomy was performed for retrorectal cyst, curettage and bone cementing was done for the bony involvement.

He was well after 1 year follow up. Diagnosis is usually difficult and MRI is a good tool for reaching diagnoses. Curettage and bone cementing can be a treatment option for decreasing bony recurrences.