PMC4719351_01
Surgical Procedure: a- exposure of the lesion and b- extraperiosteal excision. c- autogenous non vascularised fibula graft in situ and d- immediate post operative radiographic appearance.
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F2
After about a month, since the patient still had pain, we planned to do a extraperiosteal excision of the lesion with autologous fibular graft (Fig 2a). Through an anteromedial approach we exposed the lesion, we did an extraperiosteal excision of the lesion (Fig 2b). To fill the cavity we harvested 10 cm of the contra lateral fibula and since there was still space in the cavity, we packed bone graft substitute (hydroxyapatite crystals) into the defect (Fig. 2c). Post operatively the wound healed and good radiographic filling of the cavity was seen (Fig 2d).
Two year follow tip radiographs showed good healing and no recurrence
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F3
Two years follow up radiograph showed good healing with no recurrence (Fig 3) and patient was symptom free.