27635 Excision or curettage of bone cyst or benign tumor, tibia or fibula

Name of the Procedure:

Excision or Curettage of Bone Cyst or Benign Tumor, Tibia or Fibula

Summary

This procedure involves surgically removing or scraping out non-cancerous bone tumors or cysts from the shin bone (tibia) or calf bone (fibula). It aims to eliminate the growth while preserving as much healthy bone tissue as possible.

Purpose

This procedure is intended to treat benign bone tumors or cysts located in the tibia or fibula. The goals include relieving symptoms such as pain or swelling, preventing potential fractures, and restoring functionality.

Indications

• Persistent pain at the site of the tumor or cyst
• Swelling or a noticeable lump in the bone
• Risk of pathological fracture
• Impaired function or mobility due to the cyst or tumor
• Failure of other non-surgical treatments to manage symptoms

Preparation

• Patients may be instructed to fast for at least 8 hours before the surgery.
• Medication adjustments may be advised, especially if the patient is on blood thinners.
• Pre-operative blood tests, imaging studies (X-rays, MRI, or CT scans), and a thorough medical evaluation will be performed.

Procedure Description

1. The patient is placed under general anesthesia.
2. An incision is made over the affected area of the tibia or fibula.
3. The surgeon uses specialized tools to excise (cut out) or curettage (scrape out) the cyst or tumor.
4. The cavity left after removal may be filled with bone graft material or bone cement to support healing.
5. The incision is then closed with sutures or staples, and a sterile dressing is applied.

Duration

The procedure typically takes about 1-2 hours, depending on the size and complexity of the cyst or tumor.

Setting

This surgery is generally performed in a hospital or a surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technician

Risks and Complications

• Infection
• Bleeding
• Damage to surrounding tissues or nerves
• Incomplete removal of the tumor or cyst
• Fracture of the bone during or after the procedure
• Recurrence of the cyst or tumor
• Post-operative pain or swelling

Benefits

• Relief from pain and discomfort caused by the bone cyst or tumor
• Improved bone strength and reduced risk of fractures
• Enhanced mobility and function
• Rapid symptom improvement, often noticeable within weeks

Recovery

• Patients may need to keep weight off the affected limb for a certain period, using crutches or a walker.
• Pain management may involve prescribed medications.
• A follow-up appointment will be scheduled to monitor healing and remove stitches.
• Physical therapy might be recommended to improve strength and mobility.
• Full recovery can be expected in several weeks to months, depending on the extent of the surgery and the patient's overall health.

Alternatives

• Observation and regular monitoring if the cyst or tumor is small and asymptomatic.
• Medications to manage pain and inflammation.
• Minimally invasive procedures such as needle aspiration or injection of bone-hardening agents.
• Radiofrequency ablation or cryotherapy to shrink the tumor.
• Each alternative has its own risks and benefits, which should be discussed with a healthcare provider.

Patient Experience

Patients will be under general anesthesia during the procedure and will not feel pain. Post-operative discomfort is common and can be managed with medication. Swelling and bruising may occur, and mobility might be limited temporarily. Physical therapy exercises, along with rest and gradual return to activities, help ensure a smooth recovery process.