Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review
ABSTRACT Background Chondroblastoma is a rare bone tumor that originates from the epiphysis, constitutes around 1% of all primary bone tumors and is recognized for its tendency to exhibit local invasiveness, as well as the possibility of metastasis and recurrence in nearby areas. Currently, the main...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14287 |
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| author | Cong Xiao Shaoyun Zhang Zhixiang Gao Lifu Wang Yixin Dai Jian Li |
| author_facet | Cong Xiao Shaoyun Zhang Zhixiang Gao Lifu Wang Yixin Dai Jian Li |
| author_sort | Cong Xiao |
| collection | DOAJ |
| description | ABSTRACT Background Chondroblastoma is a rare bone tumor that originates from the epiphysis, constitutes around 1% of all primary bone tumors and is recognized for its tendency to exhibit local invasiveness, as well as the possibility of metastasis and recurrence in nearby areas. Currently, the main surgical treatment for chondroblastoma is open surgery, involving excision of the lesion. There are relatively few reports on arthroscopic surgery for the treatment of chondroblastoma. However, open surgical curettage is associated with operation‐related trauma and potential for damage to the osteoepiphysis resulting in growth disturbances. Case Presentation This case study presents the application of an arthroscopic technique in a 14‐year‐old male patient with chondroblastoma affecting the proximal tibia and tibial eminence. The procedure involved thorough removal of the lesion using direct visualization with the management of the cavity utilizing a substitute for autologous bone graft. After 1 year of follow‐up, the patient remains free from symptoms, exhibits normal knee functionality, and radiographic analysis reveals a good autologous bone graft fusion without any signs of recurrence. Conclusions Based on the existing cases of arthroscopic treatment for chondroblastoma and the report of this case, arthroscopic treatment for chondroblastoma can be considered as a specific treatment option for certain patients. In some cases, this technique could be an effective alternative to open surgery. |
| format | Article |
| id | doaj-art-d4d52047a72a4ea0bcbfc984a9948e44 |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj-art-d4d52047a72a4ea0bcbfc984a9948e442025-01-16T05:31:16ZengWileyOrthopaedic Surgery1757-78531757-78612025-01-0117129530910.1111/os.14287Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature ReviewCong Xiao0Shaoyun Zhang1Zhixiang Gao2Lifu Wang3Yixin Dai4Jian Li5Department of Orthopedics The Third Hospital of Mianyang, Sichuan Mental Health Center Mianyang People's Republic of ChinaDepartment of Orthopedics The Third Hospital of Mianyang, Sichuan Mental Health Center Mianyang People's Republic of ChinaDepartment of Orthopedics The Third Hospital of Mianyang, Sichuan Mental Health Center Mianyang People's Republic of ChinaDepartment of Orthopedics The Third Hospital of Mianyang, Sichuan Mental Health Center Mianyang People's Republic of ChinaDepartment of Orthopedics The Third Hospital of Mianyang, Sichuan Mental Health Center Mianyang People's Republic of ChinaSports Medicine Center, Department of Orthopedic Surgery Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu People's Republic of ChinaABSTRACT Background Chondroblastoma is a rare bone tumor that originates from the epiphysis, constitutes around 1% of all primary bone tumors and is recognized for its tendency to exhibit local invasiveness, as well as the possibility of metastasis and recurrence in nearby areas. Currently, the main surgical treatment for chondroblastoma is open surgery, involving excision of the lesion. There are relatively few reports on arthroscopic surgery for the treatment of chondroblastoma. However, open surgical curettage is associated with operation‐related trauma and potential for damage to the osteoepiphysis resulting in growth disturbances. Case Presentation This case study presents the application of an arthroscopic technique in a 14‐year‐old male patient with chondroblastoma affecting the proximal tibia and tibial eminence. The procedure involved thorough removal of the lesion using direct visualization with the management of the cavity utilizing a substitute for autologous bone graft. After 1 year of follow‐up, the patient remains free from symptoms, exhibits normal knee functionality, and radiographic analysis reveals a good autologous bone graft fusion without any signs of recurrence. Conclusions Based on the existing cases of arthroscopic treatment for chondroblastoma and the report of this case, arthroscopic treatment for chondroblastoma can be considered as a specific treatment option for certain patients. In some cases, this technique could be an effective alternative to open surgery.https://doi.org/10.1111/os.14287arthroscopybone substitutechondroblastomaproximal tibial |
| spellingShingle | Cong Xiao Shaoyun Zhang Zhixiang Gao Lifu Wang Yixin Dai Jian Li Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review Orthopaedic Surgery arthroscopy bone substitute chondroblastoma proximal tibial |
| title | Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review |
| title_full | Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review |
| title_fullStr | Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review |
| title_full_unstemmed | Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review |
| title_short | Arthroscopic Management of Juxta‐Articular Proximal Tibial Chondroblastoma: A Case Report and Literature Review |
| title_sort | arthroscopic management of juxta articular proximal tibial chondroblastoma a case report and literature review |
| topic | arthroscopy bone substitute chondroblastoma proximal tibial |
| url | https://doi.org/10.1111/os.14287 |
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