Solitary haemangioma of the shaft of long bones : resection and reconstruction with autologous bone graft


Published online: Apr 27 2013

Zhaoxu LI, Jicun TANG, Zhaoming YE

From Affiliated Hospital of Guilin Medical University, Guilin, China and Second Affiliated Hospital School of Medicine, Zhejiang University, Hangzhou, China

Abstract

Bone haemangiomas are uncommon lesions, occurring in the skull or spine. A solitary haemangioma in the diaphysis of a long bone is rare. We retrospectively investigated six patients who presented with a solitary haemangioma in a long bone diaphysis. Aftersegmental bone resection, the bone defect was replaced by a bone autograft. Patients were reviewed clinically and with radiographs. The mean follow-up was 6 years (range : 1-20 years). At the time of latest follow-up, no patient had a recurrence. Postoperative complications were one wound necrosis and one superficial wound infection. Union of the gap filling graft with the host bone was achieved in all patients at an average of 4 months (range : 3-8 months). The average Musculoskeletal Tumor Society functional score was 77% (range : 53%-90%) of normal at 6 months postoperatively, and 97% (range : 95%-99%) at the last follow-up evaluation. Segmental resection for solitary haemangioma and reconstruction with autologous bone graft can be considered as a suitable treatment option.