Surgical treatment for calcaneal intraosseous lipomas

dc.authorid0000-0003-1829-5700en_US
dc.contributor.authorUluçay, Çağatay
dc.contributor.authorAltıntaş, Faik
dc.contributor.authorÖzkan, Namık K.
dc.contributor.authorİnan, Muharrem
dc.contributor.authorÜğütmen, Ender
dc.date.accessioned2024-07-12T21:11:22Z
dc.date.available2024-07-12T21:11:22Z
dc.date.issued2009en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractIntraosseous lipoma is among rare benign tumors of the bone. The aim of the present study was to evaluate the long-term surgical results of calcaneal lipomas, representing a relatively rare localization for this type of tumors. The present study included 21 calcaneal lipoma cases (22 feet) referred to our podiatry clinic between 1991 and 2001 with complaints of foot and heel pain resistant to conservative treatment for the last 3–6 months. In all cases, the diagnosis of calcaneal intraosseous lipoma was first confirmed radiologically, then histologically. The mean age was 39 years (range 16–62), 15 were females (71%) and 6 were males (29%). One patient had bilateral disease, whereas 11 and 9 patients had right and left calcaneal involvement, respectively. None of the patients have a palpable mass in their foot. For pre-operative differential diagnosis, 3 patients had computerized tomography examination (CT scan) and 8 patients underwent magnetic resonance imaging (MRI). All lesions were totally curetted out with angled curettes. The defect was filled with cancellous autografts taken from the ipsilateral iliac crest. In only four patients, the amount of autograft was not sufficient, so a combination of cancellous allograft and autograft was used. No drain was used. An elastic bandage was wrapped around the foot and ankle, and cold packs were applied to the surgical site. The mean duration of follow up was 94 (45–143) months. Pain improved in 17 feet at 4 months, in an additional 4 feet at 8 months and in the remaining one foot at 12 months. The mean time to the graft consolidation was 5 months (range 3–7 months). There were no recurrences or pathological fractures during the follow up. No wound infection or necrosis was seen at the surgical sites. There were no neurovascular complications. Five cases experienced pain in the iliac bone for 1 month, due to grafting procedures. Although calcaneal intraosseous lipoma accounts for a small portion of cases in the huge differential diagnosis chart for foot pain, it should be kept in mind as a possible diagnosis in unresolved cases. Most of the patients would benefit from non-surgical treatments. But if this is not the case, surgical treatment is indicated. In conclusion, curettage and autogenous bone grafting is an easy and effective method for the surgical treatment of calcaneal intraosseous lipomas.en_US
dc.identifier.citationUluçay, Ç, Altıntaş, F. vd. (2009). Surgical treatment for calcaneal intraosseous lipomas. The Foot, Elsevier. 19(2), s. 93-97.en_US
dc.identifier.endpage97en_US
dc.identifier.issn1532-2963
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage93en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0958259209000029
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4365
dc.identifier.volume19en_US
dc.institutionauthorÜğütmen, Ender
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofThe Footen_US
dc.relation.isversionof10.1016/j.foot.2009.01.005en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03518
dc.subjectCalcaneal lipomaen_US
dc.subjectCurettageen_US
dc.subjectAutograftingen_US
dc.subjectMilgramen_US
dc.subjectFoot painen_US
dc.titleSurgical treatment for calcaneal intraosseous lipomasen_US
dc.typeArticle
dspace.entity.typePublication

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