Otsuka Takanobu, Kobayashi Masaaki, Yonezawa Masato, Kamiyama Fumiaki, Matsushita Yasusi, Matsui Nobuo
Department of Orthopaedic Surgery, Nagoya City University Medical School, Nagoya City, Japan.
Arthroscopy. 2002 Apr;18(4):430-5. doi: 10.1053/jars.2002.31967.
Chondroblastoma is a relatively rare benign bone tumor. Approximately 7% of chondroblastomas occur in the calcaneus, and 17% of chondroblastoma associated with cystic lesions. We report a case of a chondroblastoma in the calcaneus with a secondary aneurysmal bone cyst treated successfully by endoscopic curettage without bone grafting. New bone formation is facilitated by minimal damage to the bone and soft tissue. The cosmetic results of this procedure are good. Two years later, the patient is asymptomatic with no radiographic evidence of recurrence. Endoscopic curettage without bone grafting is a promising new treatment for chondroblastoma.
软骨母细胞瘤是一种相对罕见的良性骨肿瘤。约7%的软骨母细胞瘤发生于跟骨,17%的软骨母细胞瘤伴有囊性病变。我们报告1例跟骨软骨母细胞瘤合并继发性骨囊肿的病例,通过内镜刮除术成功治疗,未进行植骨。对骨和软组织的最小损伤有利于新骨形成。该手术的美容效果良好。两年后,患者无症状,影像学检查无复发迹象。内镜刮除术不植骨是一种有前景的软骨母细胞瘤新治疗方法。