Endoscopic Assisted Management of Benign Osteolytic Bone Lesions

Authors

1 orthopedic Surgery department Police authority hospitals, Cairo, Egypt

2 Professor of orthopedic surgery - Faculty of medicine - Al-azhar University

3 Assistant professsor of orthopedic surgery - Faculty of medicine - Al-azhar University

4 Lecturer of orthopedic surgery - Faculty of medicine - Al-azhar University

Abstract

Background: Benign lytic bone lesions have various clinical and histopathological forms, the most frequent lytic lesions are unicameral bone cyst, giant cell tumor, aneurysmal bone cyst, fibrous dysplasia, osteoblastoma and enchondroma, and they are rarely to be symptomatic and usually diagnosed accidentally on imaging. Treatment has wide range from conservative treatment with regular follow up to many surgical interventions without significant established consensus to support any of them. Aim of the work: this study evaluates the outcome of endoscopic assisted management of benign osteolytic bone lesions for 2 year of follow up. Patients and methods: In this prospective, 20 patients with benign osteolytic lesions underwent endoscopic assisted curettage and space filling either by cement or bone graft the functional outcome is assessed using musculoskeletal tumor society score and follow up continued for 2 years to assess precedence of complications and recurrence Results: The functional outcome of the studied patients according to musculoskeletal tumor society score ranged from 18-30 with mean of 27.10 ± 3.28(SD), while pre-operative mean score 18.3 ± 1.64 (SD), 17 patients score (85%) were excellent (≤ 26), 1 patient (5%) was good (22) and 2 patients (10%) were poor (

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