Scott Weiner, M.D., Chair, Department of Orthopaedic Surgery, Summa Health System, has reported on Summa’s experience with a novel method of treating large bone lesions. The goal of treatment is to provide structural support following excision of the large lesions, resulting in stability of the extremity, preservation of function and return to pre-operative pain and activity levels. The method uses allograft cortical strut bone grafting. The strut acts as an internal support, providing structural integrity without the use of metallic implants and a stable, hardware-free reconstruction that minimizes potential irritation.
The study, recently published in Orthopedics, reviewed patients undergoing this novel surgical treatment from 1998 – 2010. This is the first study reporting successful treatment of large, space-occupying benign bone lesions in weight-bearing and non-weight bearing extremities that resulted in return to function in the majority of patients. The majority of the 17 patients had benign lesions; approximately half of the lesions were in an upper extremity and half in a lower one. Ages ranged from 2 to 62; approximately half of the patients were male. Two patients experienced a recurrence. While degree of allograft incorporation varied among the remaining patients, nearly all returned to full activities with little or no pain.
Allograft Cortical Strut for Reconstruction of Space-occupying Bone Lesions
Jason C. Tank M.D., Michael F. Vignos B.S., Robert J. Wetzel M.D., Scott D. Weiner M.D.
Orthopedics, January 2014; Volume 37: Issue 1: e66-e70