Allogeneic cortical strut for benign lesions of the humerus in adolescents

Hsin Nung Shih*, Juin Yih Su, Kuo Yao Hsu, Robert Wen Wei Hsu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations

Abstract

Allogeneic cortical strut associated with or without cancellous bone grafting for benign adolescent humeral shaft lesions is an alternative management option offering a good chance of stabilization and healing. This study monitored 16 patients who had been treated with this surgical method from 1988 to 1993. There were nine boys and seven girls between the ages of 11 and 16 years (average, 14). Eleven patients had unicameral bone cysts; two had aneurysmal bone cysts; and three had fibrous dysplasia. All 16 patients received fresh-frozen (-70°C) cortical strut inlay grafts in the humeral shaft defect after subtotal excision of the large lesions. No intramedullary rod or plate was used. The follow-up period ranged from 26 to 58 months (average, 41). There were no local recurrences or fractures of the shaft or allograft implants. The radiographs of all humeri revealed the cortical grafts to be well incorporated with new bone formation in the cavity. The overall functional results were good and excellent. This reconstruction with biologically safe and active material provided increased strength and prevented refracture.

Original languageEnglish
Pages (from-to)433-436
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume17
Issue number4
DOIs
StatePublished - 07 1997
Externally publishedYes

Keywords

  • Allograft
  • Humerus
  • Tumor

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