Journal of AdvancedMedical and Dental Sciences Research

Introduction: The aim of this study is to highlight the results of non-vascularized fibular graft for reconstruction of bone defects after extended curretage of giant aneurysmal bone cyst (ABC) of the extremities. Materials and Methods: Between 2013 to2016, twelve patients, with giant aneurysmal bone cysts were treated. The cysts were located in the proximal humerus, proximal radius and proximal tibia. All patients were given extended curettage of the cyst followed by non vascularized fibular bone graft, with the graft length ranging from 5 to 9 cm and ipsilateral cancellous iliac crest graft. All patients required supplementary fixation with a TENS or Kirschner wire or plating. Results: At the final follow-up, bony union was achieved in each case, and there was norecurrence, limitation of range of motion or disability. Non-vascularized fibular graft is an optimal and valuable method for the reconstruction of bone defects after resection of giant ABC in the extremities. Conclusion: Extended curettage of the lesion along with fibular strut grafting supplemented with cancellous bone chips with or without primary internal fixation seems to be a reasonable option for giant aneurysmal bone cysts with good functional outcome and excellent patient satisfaction at long term follow up with minimal donor site morbidity.
Keyword: Graft; Humerus; Aneurysmal bone cysts

Corresponding Author: Dr. Kapil Bansal, Assistant Professor, Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

This article may be cited as: Bansal K, Dahuja A, Kalia A, Singh M, Gupta M. Two year follow up of giant aneurysmal bone cysts managed with an autologous non vascularized fibular strut graft. J Adv Med Dent Scie Res 2016;4(6):254-258.