Long XY, Sun F, Wang T, Li P, Tian Z, Wu XW. Ilizarov technique for treatment of a giant aneurysmal bone cyst at the distal femur: A case report. World J Orthop 2024; 15(11): 1088-1094 [PMID: 39600861 DOI: 10.5312/wjo.v15.i11.1088]
Corresponding Author of This Article
Feng Sun, Doctor, Department of Orthopedics, Changsha Hospital for Maternal & Child Health Care, No. 416 East Chengnan Road, Yuhua District, Changsha 410000, Hunan Province, China. sslysunfeng@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xing-Yu Long, Feng Sun, Zhong Tian, Department of Orthopedics, Changsha Hospital for Maternal & Child Health Care, Changsha 410000, Hunan Province, China
Tao Wang, Ping Li, Department of Orthopedics, Changde First Traditional Chinese Medicine Hospital, Changde 415000, Hunan Province, China
Xian-Wei Wu, Department of Orthopedics, Xinfeng Hospital of Traditional Chinese Medicine, Ganzhou 341600, Jiangxi Province, China
Author contributions: Long XY wrote the manuscript; Sun F, Wang T and Li P participated in the surgery; Sun F was the lead surgeon and he collected the data; Tian Z and Wu XW reviewed the manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Feng Sun, Doctor, Department of Orthopedics, Changsha Hospital for Maternal & Child Health Care, No. 416 East Chengnan Road, Yuhua District, Changsha 410000, Hunan Province, China. sslysunfeng@163.com
Received: February 13, 2024 Revised: September 4, 2024 Accepted: October 15, 2024 Published online: November 18, 2024 Processing time: 276 Days and 5.3 Hours
Abstract
BACKGROUND
Aneurysmal bone cyst (ABC) is a benign cystic of unknown etiology, characterized by multiple chambers and a high recurrence rate. Current treatment options include vascular embolization, surgical excision, curettage with cavity filling, sclerosing agent injection into the cavity, radiotherapy, and systemic drug therapy. Among these, surgical excision and curettage are the preferred treatment modalities. However, when the cyst reaches a large size, extensive removal of diseased tissue during surgery can hinder bone healing. In our department, we treated a case of a large ABC at the distal end of the femur in a child using the Ilizarov technique. The tumor was completely excised, and reconstruction was achieved through autologous femoral bone transfer. The follow-up at two years post-surgery indicated good results without tumor recurrence, and the growth and development of the child were essentially unaffected.
CASE SUMMARY
An 11-year-old boy was presented with an accidental fracture of his right leg. Despite having been examined at other hospitals, he had not received treatment. Given the potential for significant bone defects and the difficulty of the surgery, our doctors opted to use the Ilizarov technique to minimize harm to the patient. Upon admission, the patient underwent a needle biopsy and complete tumor resection-the Ilizarov technique assisted in the transport and reconstruction of the autologous femoral bone. Postoperatively, the patient exhibited regular follow-ups, during which bone transport was gradually performed, and the external fixation frame was removed on time. Follow-up X-rays of the right lower limb displayed no tumor recurrence, with a normal appearance. Bone formation at the cutting site was satisfactory, and the union of the bone ends indicated good healing. After two years of follow-up, the patient had essentially returned to normal.
CONCLUSION
We successfully applied the Ilizarov technique to treat ABC, reducing the financial burden of patients and the pain of multiple surgeries. In cases where significant bone defects occur, the Ilizarov technique has demonstrated satisfactory therapeutic outcomes.
Core Tip: This is a case report on the treatment of a pediatric patient with a large aneurysmal bone cyst of the distal femur using the Ilizarov technique. The surgical procedure of the patient was mainly documented. The patient was followed up for two years after the surgery, and the clinical healing and functional recovery of the patient were evaluated.
