跟骨脂肪瘤：是否进行移植？——一例病例报告及文献综述
Os calcis lipoma: To graft or not to graft? - A case report and literature review.
作者信息
Balbouzis Theodoros, Alexopoulos Theodosios, Grigoris Peter
机构信息
Department of Orthopaedics, Metropolitan General Hospital, Holargos, Athens 15562, Greece.
Department of Radiology, Metropolitan General Hospital, Holargos, Athens 15562, Greece.
出版信息
World J Orthop. 2019 Jul 18;10(7):292-298. doi: 10.5312/wjo.v10.i7.292.
BACKGROUND
Intraosseous lipoma is a rare benign lesion, commonly affecting the os calcis. Its pathogenesis and natural history are not fully understood, and its management remains controversial.
CASE SUMMARY
A 56-year-old male complaining of heel pain was diagnosed with an os calcis lipoma. The lesion was treated with curettage and it was filled with impacted allograft and demineralized bone matrix. Histological examination confirmed the above diagnosis. Six months postoperatively, the patient returned to recreational long-distance running. Repeated computed tomography scanning, up to five years postoperatively, showed almost complete resorption of the graft over time.
CONCLUSION
The treatment of an os calcis lipoma should be individualized, depending on the symptoms, the location and size of the lesion. Surgeons, electing to proceed with bone grafting, should consider the probability of bone graft resorption.
背景
骨内脂肪瘤是一种罕见的良性病变，通常累及跟骨。其发病机制和自然史尚未完全明确，治疗方法仍存在争议。
病例摘要
一名56岁男性因足跟疼痛就诊，被诊断为跟骨脂肪瘤。对该病变进行了刮除术，并用嵌入的同种异体骨和脱矿骨基质填充。组织学检查证实了上述诊断。术后6个月，患者恢复了休闲长跑。术后长达5年的重复计算机断层扫描显示，随着时间的推移，移植骨几乎完全吸收。
结论
跟骨脂肪瘤的治疗应个体化，取决于症状、病变的位置和大小。选择进行骨移植的外科医生应考虑骨移植吸收的可能性。
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