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KMID : 0828620070110020134
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Journal of Korean Arthroscopy Society
2007 Volume.11 No. 2 p.134 ~ p.138
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Endoscopic-Assisted Curettage of Brodie Abscess in Proximal Tibia - A Case Report -
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Ku Jung-Hoei
Cho Hyung-Lae
Park Man-Jun
Choi Seung-Hyun
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Abstract
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Brodie abscess is a localized form of subacute or chronic osteomyelitis which is common in children but may also occur in adulthood. When Brodie abscess is located in the posterior metaphysis of the proximal tibia, open biopsy and curettage have a difficulty in approach to the lesion and can cause neurovascular injury or soft tissue contamination. We report a case wherein a novel surgical technique was used to treat a Brodie abscess in the posterior proximal tibial metaphysis in 48 year-old-male with endoscopic-assisted curettage by commercial anterior cruciate ligament targeting device (Rigid Fix; Mitek, Johnson & Johnson, Norwood, MA). Two portals were created toward the abscess site and, through each portal interchangeably, the granulation tissue and sclerotic bone could be excised. We believe that endoscopic-assisted curettage presents safe technique, decreased morbidity, accurate assessment of the extent of the abscess and possible improvement in long-term outcomes.
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KEYWORD
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Proximal tibia, Brodie abscess, Endoscopic-assisted Curettage
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