Fibular strut graft for humeral aneurysmal bone cyst with XXXX .

@entity1 @entity174 @entity281 @entity158 @entity22321 @entity85
PURPOSE: Proximal humerus is a common site for @entity22321 and frequently associated with @entity85 that limits shoulder abduction. A prospective study was conducted to evaluate the use of intramedullary non-vascularised autogenous fibular strut graft for reconstruction without internal fixation. METHODS: A total of 20 @entity1 (12 @entity1 , 8 @entity1 ) were managed for proximal humeral @entity22321 with @entity85 by extended curettage, osteotomy, intramedullary fibular graft and composite bone substitute. Their ages ranged from 10 to 17  years (average, 13.3  years). The lesion was juxtaphyseal in 16 @entity1 and metaphyseal in 4. All cysts were active and centrally located type 2. The modified Enneking scoring system was used for final functional evaluation. Radiological assessment was done for the extent of defect healing, incorporation of the fibula and correction of the deformity. RESULTS: After a mean follow-up of 41.2  months (range, 24-74) most of @entity1 were satisfied and resumed daily activities without @entity158 and with good range of shoulder movement. One @entity1 complained of shoulder @entity158 10  months after surgery and was attributed to local recurrence. Limitation of recreational activity was experienced by one @entity1 . There were no cases of @entity281 or pathological @entity174 . No cases of failed healing or incorporation of the fibula was detected. The improved shoulder abduction was closely related to the mean correction of the neck shaft angle. CONCLUSIONS: The technique is proved to be effective in controlling disease, @entity85 and improving function.
