Japour Christopher, Giorgini Renato, Aska Glenroy, Thomas Mary, Reynolds Eric
Department of Podiatry, Northport Veterans Affairs Medical Center, Northport, NY, USA.
J Am Podiatr Med Assoc. 2010 Nov-Dec;100(6):487-92. doi: 10.7547/1000487.
Intraosseous lipoma is a rare bone tumor that may be encountered in clinical practice. It is benign and is described as a well-defined, radiolucent lesion that must be differentiated from other lytic lesions. Most of these lesions may be treated without surgery; however, when surgery is needed, the classic approach involves curettage and packing using autologous bone grafts, allografts, or synthetic bone substitutes. This article reports two cases using a synthetic bone substitute, TheriLok, to fill the void made from surgical curettage of the intraosseous lipoma. Both patients tolerated the TheriLok bone substitute without developing adverse reactions and precluded the need for a secondary donor site.
骨内脂肪瘤是一种临床实践中可能遇到的罕见骨肿瘤。它是良性的,被描述为边界清晰的透光性病变,必须与其他溶骨性病变相鉴别。大多数此类病变无需手术即可治疗;然而,当需要手术时,经典方法包括刮除术并用自体骨移植、异体骨移植或合成骨替代物进行填充。本文报告了两例使用合成骨替代物TheriLok填充骨内脂肪瘤手术刮除后形成的骨缺损的病例。两名患者均耐受了TheriLok骨替代物,未出现不良反应,且无需额外的供骨部位。