RESUMO
Bone wax is commonly used in orthopedic procedures for the hemostatic control of cancellous bone bleeding. Herein, ordinary bone wax was used to stop bleeding intraoperatively at the site of a peroneal tubercle resection. Five months postoperatively, a symptomatic retrofibular mass was removed. Gross examination showed severe peroneal tendon destruction associated with the mass. Microscopic examination diagnosed a bone wax granuloma. To our knowledge, this is the first case of significant tendon and nerve damage resulting from a bone wax foreign-body granuloma.
Assuntos
Reação a Corpo Estranho/diagnóstico , Granuloma de Corpo Estranho/diagnóstico , Palmitatos/efeitos adversos , Complicações Pós-Operatórias , Ceras/efeitos adversos , Feminino , Reação a Corpo Estranho/complicações , Granuloma de Corpo Estranho/etiologia , Hemostáticos/efeitos adversos , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Tendões/patologiaRESUMO
UNLABELLED: The literature on the surgical treatment of osteochondritis dissecans of the distal tibial plafond is significantly limited. The purpose of this case study is to present a novel surgical technique to repair osteochondritis dissecans of the distal medial tibial plafond. A retrospective chart and radiographic review of a 15-year-old male was performed with a 24-month follow-up along with a review of the literature. A right angled medial malleolar osteotomy provides adequate exposure, width, and depth of the medial distal tibial plafond allowing for the successful transfer of osteochondral autograft plugs. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case report.
