Advantages of Pressurized-Spray Cryosurgery in Giant Cell Tumors of the Bone

Background: Giant Cell Tumor is considered a benign, local and aggressive tumor. Although considered a benign bone tumor, it is still the subject of discussion and research because of the associated local bone destruction, as well as high rates of recurrence and distant metastases. Options are being developed for both surgical techniques and adjuvant therapies. Aims: The present study evaluated the administration of cryotherapy via a pressurized-spray technique in giant cell tumors of the bone. Study Design: Cross-sectional study. Methods: The study included 40 patients who were treated with extensive curettage and cryotherapy at various locations during the period from February 2006 to December 2013. Informed consent forms were obtained from the participants and ethics committee approval was taken from the local ethics committee of Ondokuz Mayıs University. The pressurized-spray technique was performed using liquid nitrogen. The patients were evaluated with respect to age, gender, radiological appearance, treatment modality, duration of follow-up, skin problems and recurrence. Results: Twenty-one patients were female; 19 were male. The average age of the patients was 33 years (range: 16–72 years), and the average duration of follow-up was 43 months (range: 12–80 months). The average time from the onset of the complaints to the diagnosis was 6 months (range: 2–12 months). Based on the Campanacci classification: 9 patients were Grade I; 25 patients were Grade II; six patients were Grade III. The lesion was located in the femur in 14 patients, in the tibia in 11 patients, in the radius in 5 patients, in the pelvis in 4 patients, in the fibula in 3 patients, in the metatarsal in 2 patients and in the phalanges of the hand in one patient. One patient had postoperative early fracture. None of the patients had skin problems and infection. Three (7.5%) of the patients had recurrence. Conclusion: It was found that cryotherapy was highly effective in the lesions, especially those located in the femur and tibia and remained insufficient in the lesions expanded outside the cortex. Wound healing problems, infection and fracture risk are lower with this technique

Total Knee Arthroplasty for Neglected Patellar Dislocation

Neglected permanent post-traumatic patellar dislocation is rarely seen. In this group of patients, secondary osteoarthritis may develop within years, consequently, patients suffer from pain. In the literature, there have been a few cases treated with total knee arthroplasty. Although each surgeon’s treatment plan changes, no standard surgical technique has been adopted. The aim in these cases, is to keep the patella located in the femoral groove and to achieve full knee extension. In this paper, a patient with osteoarthritis due to post-traumatic patellar dislocation who has undergone total knee arthroplasty is evaluated in the light of the literature. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 140-3

Corrective Osteotomy for Bilateral Madelung’s Deformity

Madelung’s deformity is the developmental anomaly of the wrist. Delayed growth rate of the medial side of the distal radius growth plate and articular surface rotation causing relatively shortening of the medial side of the radius are considered to be the main reasons. The diagnosis of the condition is based on clinical and radiological findings. Patients with this deformity are treated by surgical or conservative methods according to the severity of the symptoms. In this paper, we present a patient with bilateral Madelung’s deformity who underwent corrective osteotomy. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 144-7

Bilateral Madelung Deformitesinde Düzeltici Osteotomi

Madelung’s deformity is the developmental anomaly of the wrist. Delayed growth rate of the medial side of the distal radius growth plate and articular surface rotation causing relatively shortening of the medial side of the radius are considered to be the main reasons. The diagnosis of the condition is based on clinical and radiological findings. Patients with this deformity are treated by surgical or conservative methods according to the severity of the symptoms. In this paper, we present a patient with bilateral Madelung’s deformity who underwent corrective osteotomy. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 144-7

Pigmented Villonodular Synovitis in a Patient who Underwent Hip Arthroplasty

Pigmented villonodular synovitis (PVNS) is a rare, benign, but a locally aggressive tumor. It is characterized by the proliferation of synovial membrane, but it can also be seen in tendon sheaths and bursae. Clinical presentation of solitary lesions include compression and locking of the joint suggesting loose bodies in the joint and a subsequent findings of an effusion, whereas diffuse lesions manifest with pain and chronic swelling. In this article, we presented a curious case of PVNS in a female patient who have been followed up due to an acetabular cystic lesion. She underwent total hip arthroplasty for severe osteoarthritis of the hip joint and associated pain. The diagnosis of PVNS was established intraoperatively. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 235-7