We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Treatment of juxta-articular intraosseous cystic lesions in rheumatoid arthritis patients with interconnected porous calcium hydroxyapatite ceramic.
- Authors
Kuriyama, Kohji; Hashimoto, Jun; Murase, Truyoshi; Fujii, Masakazu; Nampei, Akihide; Hirao, Makoto; Tsuboi, Hideki; Myoui, Akira; Yoshikawa, Hideki
- Abstract
In patients with rheumatoid arthritis (RA), juxta-articular intraosseous cystic lesions may cause spontaneous pathological fractures. The outcome of curettage and the packing of such lesions with interconnected porous calcium hydroxyapatite ceramic (IP-CHA) was investigated. Twelve lesions were treated in ten RA patients (three men and seven women with a mean age of 59 years). Ten lesions were associated with impending pathological fracture involving the articular surface. In all patients, curettage and packing of the bone cavity with IP-CHA were done. Assessment was based on final radiographs obtained an average of 30 months after surgery (range 10–47 months). Absorption of the implanted IP-CHA, expansion of the lesion, implant incorporation into host bone, and postoperative fractures were investigated. At final follow-up, there was no absorption of the implanted IP-CHA in any of the lesions. Expansion of the radiolucent area was only noted in one lesion. Seven of the other 11 lesions showed major incorporation of IP-CHA into host bone, while minor incorporation was seen in four lesions. There were no postoperative fractures. In conclusion, curettage and packing with IP-CHA is a feasible method of preventing pathological fracture due to juxta-articular intraosseous cystic lesions in RA patients.
- Subjects
PRECANCEROUS conditions; RHEUMATOID arthritis; AUTOIMMUNE diseases; HYDROXYAPATITE; APATITE
- Publication
Modern Rheumatology, 2009, Vol 19, Issue 2, p180
- ISSN
1439-7595
- Publication type
Article
- DOI
10.3109/s10165-008-0147-8