Abstract:

INTRODUCTION: Aim of the study is to evaluate the results of the surgery that was performed for intraosseos lipomas in calcaneus which is a rare benign bone tumor. METHODS: Eleven patients’ 12 feet which were diagnosed as intraosseos lipoma radiologically, had been analyzed. The mean age was 38.9 years (18–52 years). Eight patients were female (73 %) and 3 patients were male (27 %). Six of the lipomas were at the right side, 4 of them were at left side and one was bilateral. All of the patients were treated surgically. Surgery was performed under general anestesia, with tourniquet. Curetage and bone grafting which was taken from the ipsilateral iliac crest, was performed to 8 patients. We had used allograft and autograft together for three patients because of the insufficiency of the grafts taken from iliac crest. RESULTS: The mean follow up time was 69.7 months (39-137 months). No infection and skin necrosis were seen at the surgery regions on ankle and iliac crest. There were no neurovascular complications intraoperative and postoperative. Two patients had iliac pain for three weeks. The pain at ankle was ended in 4 months for 6 patients, 8 months for 4 patients and 12 months for one patient. The mean time for the consolidation of the grafts was 3 months (1.5-4 months). There was no recurrence during the follow up period. DISCUSSION AND CONCLUSION: Curetage and grafting is an effective treatment for intraosseos lipomas in calcaneus to prevent pain and recurrence.

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