title: Intraosseous lipoma: retrospective analysis of 29 patients.
abstract: We reviewed 29 patients with intraosseous lipoma treated between 1985 and 2002. Mean patient age was 48 (20-75) years. According to Milgram's classification, ten cases were classified as stage I, 14 as stage II, and three as stage III. All patients were initially treated by curettage. In 11 cases an additional phenolization was performed. The average follow-up was 32 (6-208) months. At the last follow-up, none had any clinical or radiological signs of recurrence. The adequate treatment of a symptomatic intraosseous lipoma is curettage and bone grafting. In the current study, phenolization showed no added benefit. An asymptomatic intraosseous lipoma without impending pathological fracture can be treated conservatively.
authors.affiliation: Department of Orthopaedic Surgery, Medical School, University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria. roman.radl@meduni-graz.at
authors.forename: Roman
authors.initials: R
authors.lastname: Radl
authors.forename: Andreas
authors.initials: A
authors.lastname: Leithner
authors.forename: Felix
authors.initials: F
authors.lastname: Machacek
authors.forename: Erdal
authors.initials: E
authors.lastname: Cetin
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Koehler
authors.forename: Bodo
authors.initials: B
authors.lastname: Koppany
authors.forename: Martin
authors.initials: M
authors.lastname: Dominkus
authors.forename: Reinhard
authors.initials: R
authors.lastname: Windhager
mesh_terms: D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000628:therapy; D005260:Female; D006801:Humans; D008067:Lipoma / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies