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- W2034792261 abstract "Background: Sclerosing osteomyelitis of Garre affecting tibal diaphysis is an uncommon clinical entity. There is paucity of original research and case studies with reference to its management and treatment outcome. The study analyses outcome of creating a cortical trough over the affected portion of the bone and local intramedullary curettage as a viable treatment modality. Materials and methods: The study is a retrospective analysis of cases (n= 7) spanning three years in a tertiary centre. All symptomatic cases affecting tibia were included. Asymptomatic or those not willing for surgery were excluded. All the cases were male with mean age of 13.5 years. Appropriate radiographs and magnetic resonance imaging for each case were taken for ancillary documentation. Proper informed consent was taken from parents in view of all the cases being minor. The cases were operatively managed after failed conservative management for localized pain affecting their activities of daily living. Antero-lateral incision was used as per the requirement to reach the affected segment of bone and a longitudinal trough of appropriate size was fashioned to de-roof the segment using multiple drill- hole technique. Pre and post procedure visual analogue score and 100 point numerical rating score was used to assess the pain profile. Full painless weight bearing was the treatment goal that was achieved in all managed cases. The culture and histopathological findings were also noted for each case. Results: Results were excellent with improvement in all clinical parameters in post operative period and during follow up period at 3,6 and 12 weeks and then after 6 months. Final follow up was done at one year post procedure. There was no immediate and remote surgical site morbidity. Culture studies were unremarkable and histopathology correlated with the diagnosis. There was gradual filling of the trough space with mineralized bone when viewed in serial follow up radiographs. Conclusion: The technique of creation of a longitudinal narrow strip of cortical trough along the affected segment with medullary curettage is an inexpensive, affective and technically easy way of treating the painful sclerosing osteomyelitis of tibia." @default.
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- W2034792261 date "2015-03-01" @default.
- W2034792261 modified "2023-10-16" @default.
- W2034792261 title "Outcome of treating sclerosing osteomyelitis of Garre affecting tibial diaphysis with cortical trough and medullary curettage" @default.
- W2034792261 doi "https://doi.org/10.1016/j.jcot.2015.01.022" @default.
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