I have fibrous cortical defect in tibia. Is it completely curable?

Hi,

Welcome to icliniq.com.

A fibrous cortical defect is also called a non-ossifying fibroma. It is a benign tumor. It usually occurs in children and also usually in the tibia bone. Most of the time, it regresses on its own, and casting is required. But if the lesion is found to be too long or involving more than 40% to 50% of the bone or cortex, then surgery is required. The surgical treatment is usually curettage with bone grafting. But, mostly it can be treated non-operatively. It is fully curable either by non-operative or operative management. If you follow up with X-rays, then I will be able to give you an exact opinion in your case.

Thank you.

Hi,

Welcome back to icliniq.com.

Your fibrous cortical defect is very small and is well surrounded by sclerotic bone(attachment removed to protect patient identity). So, you do not need to worry about it. It can heal very well with non-operative management. But for any benign or malignant tumor, you need to do the following investigations. MRI scan of the tibia or fibula, including knee and ankle joints, and a CT scan of the tibia or fibula with 3D reconstruction. These investigations should be done for all tumors to know and be 100% sure of the type and extent of the tumor. Follow up with the reports. As of the X-rays, the tumor looks very benign, nicely encapsulated by sclerotic bone. It may be in the regression phase and incidentally detected. From the X-ray, it is evident that you do not require surgery, but to be totally sure, an MRI and a CT scan are needed. Till then, you should wear a custom-made leg brace made by an orthotist and always wear the brace. This will reduce the stresses on the bone and prevent a fracture. The brace should be worn till the time you do an MRI and CT scan.

Thank you.

Hi,

Welcome back to icliniq.com.

After surgery, the defect will heal in about two months and then you will be able to run and jump like before. Bone grafts requirement is more of a decision taken at surgery. If more defects, then it will be required and vice versa. It is more of a surgeon-based decision.

Thank you.

Hi,

Welcome back to icliniq.com.

I have seen your X-rays.

Your fracture has fully healed, and it is safe to remove the nail now.

After removal of the nail, you can easily get back to your current active status, which is running, jumping, etc.

Complications with the removal of nail surgery include re-fracture, which is rare, inability to remove the implant, breakage of the implant, damage to nerves and vessels, re-operation, deep vein thrombosis, pulmonary embolism, anesthetic complications, and injury to the patellar tendon. But these complications are not very common.