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Medial malleolar osteotomy for intralesional curettage and bone grafting of primary aneurysmal bone cyst of the talus
  1. Sujit Tripathy,
  2. Paulson Varghese,
  3. Sibasish Panigrahi and
  4. Lubaib Karaniveed Puthiyapura
  1. Orthopaedics, AIIMS, Bhubaneswar, Orissa, India
  1. Correspondence to Dr Sujit Tripathy; ortho_sujit{at}aiimsbhubaneswar.edu.in

Abstract

Access to the cystic lesion of the talar body without damage to the articular surface is difficult. This case report is about a 23-year-old man who had a symptomatic huge cystic lesion in the left-sided talus bone. Radiograph and CT scan showed an expansile lytic lesion within the talar body. The MRI revealed a well-defined lesion with fluid-fluid levels. The needle biopsy aspirate was haemorrhagic, and hence a diagnosis of the aneurysmal bone cyst was made. As the lesion was beneath the talar dome with an intact neck and head, a medial approach with medial malleolar osteotomy was performed. The lesion was curetted out, and the cavity was filled up with a morselised bone graft. The limb was splinted for 6 weeks, and complete weight bearing was started after 3 months. At 1-year follow-up, the lesion was found to be healed up, and the patient was pain-free with no recurrence.

  • orthopaedics
  • radiology
  • oncology

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Footnotes

  • Contributors ST, PV and LKP managed the case. ST and SP prepared the initial manuscript. ST provided intellectual content to the manuscript. All authors read the manuscript and approved for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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