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The use of medulloscopy for localized intramedullary lesions: review of 5 cases
Ji Hoon Kwak1, Jae Ang Sim, Sang Hoon Yang
1Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea.
Abstract:
We report 5 cases of a localized lesion (4 with osteomyelitis and 1 with an intraosseous ganglion cyst) that were treated successfully by medulloscopy. Medulloscopy is a standard arthroscopic technique for visualizing the intramedullary canal of the tibia. Two portals were created to allow easy access and triangulation to the lesion, one for the 5-mm arthroscope and the other for the instrument. Debridement, irrigation, and resection of the sequestrum were performed for the cases with osteomyelitis, and the intraosseous ganglion cyst was treated with biopsy, debridement, and autogenous bone grafting. All cases were treated successfully with medulloscopy and did not show recurrence at the last follow-up. In addition, there were no complications related to the procedure.
Insights
Medulloscopy, an arthroscopic technique, successfully treated tibial lesions including osteomyelitis and ganglion cysts. This minimally invasive approach showed no recurrence or complications in five patients.
Area of Science:
- Orthopedics
- Minimally Invasive Surgery
Background:
- Localized tibial lesions, including osteomyelitis and intraosseous ganglion cysts, require effective treatment.
- Medulloscopy offers a minimally invasive arthroscopic approach for visualizing and treating intramedullary tibial pathology.
Observation:
- Five cases of localized tibial lesions were treated: four with osteomyelitis and one with an intraosseous ganglion cyst.
- The procedure involved creating two portals for arthroscope and instrument access to the lesion.
Findings:
- Medulloscopy enabled successful debridement, irrigation, and sequestrum resection for osteomyelitis.
- The intraosseous ganglion cyst was managed with biopsy, debridement, and autogenous bone grafting.
- All five patients achieved successful treatment outcomes with no recurrence at follow-up.
Implications:
- Medulloscopy is a viable and effective technique for managing specific intramedullary tibial lesions.
- The absence of complications suggests a favorable safety profile for medulloscopy in these cases.
- This arthroscopic method provides a minimally invasive alternative for tibial intramedullary canal pathologies.
