{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:30:51Z","timestamp":1761129051527},"reference-count":29,"publisher":"SLACK, Inc.","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>\n            Hydatid disease is a parasitic tapeworm infection caused by the\n            <jats:italic>Echinococcus<\/jats:italic>\n            species. Involvement of the long tubular bones is rare in hydatid bone disease. Patients are initially asymptomatic and usually present at a later stage of the disease when the bony lesions are extensive. Diagnosing bone hydatid disease is challenging, even in endemic regions, and a high index of suspicion is required because the radiologic findings often mimic other bone pathologies. Recurrence following treatment can occur after a long period of quiescence.\n          <\/jats:p>\n          <jats:p>This article describes a case of hydatid disease in a 62-year-old woman with extensive diaphyseal tibial involvement. She was treated with initial chemotherapy followed by extended curettage, polymethylmethacrylate cementation, and intramedullary fixation. Functional outcome was excellent, with no recurrence at 60-month follow-up. She was fully weight bearing with no pain or discomfort and had full hip, knee, and ankle range of motion.<\/jats:p>\n          <jats:p>This case was important due to its rarity, the diagnostic challenge it presented, and the composite nature of the treatment used to avoid recurrence. Diaphyseal bone hydatidosis can be initially treated like a low-grade malignant tumor with curettage and high-speed burring, followed by filling the defect with polymethylmethacrylate cement. The composite treatment of chemotherapy with the surgical protocol described offers a reasonable chance of long-term disease suppression. Recurrent disease can be treated with repeat curettage and cementation. Wide excision with reconstruction of the resulting defect should only be considered for recalcitrant diaphyseal hydatid disease.<\/jats:p>","DOI":"10.3928\/01477447-20121120-34","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T22:59:23Z","timestamp":1354748363000},"source":"Crossref","is-referenced-by-count":6,"title":["Composite Treatment for Primary Long-bone Hydatidosis"],"prefix":"10.3928","volume":"35","author":[{"given":"Samik","family":"Banerjee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanchan Kumar","family":"Sabui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayanta","family":"Mondal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chinmoy","family":"Nath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip Kumar","family":"Pal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002680020010"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809002364"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1673.2002.t01-1-01099.x"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003300050293"},{"issue":"2","key":"e_1_3_1_6_2","first-page":"89","article-title":"Hydatid disease of the left femur: a case report","volume":"60","author":"Tomak Y","year":"2001","unstructured":"Tomak Y, Dabak N, Gulman B, Karaismailoglu TN, Basoglu T, Incesu L. Hydatid disease of the left femur: a case report. Bull Hosp Jt Dis. 2001; 60(2):89\u201393.","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00019"},{"issue":"4","key":"e_1_3_1_8_2","first-page":"194","article-title":"Hydatid cyst of the tibia","volume":"38","author":"Madiwale C","year":"1992","unstructured":"Madiwale C, Shenoy A, Joshi A, Vora I, Hemmadi SS, Bhosale PB. Hydatid cyst of the tibia. 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Primary hydatid disease of the humerus. Ann Acad Med Singapore. 2008; 37(5):440\u2013441.","journal-title":"Ann Acad Med Singapore"},{"issue":"176","key":"e_1_3_1_28_2","first-page":"321","article-title":"Hydatid cyst of radial bone","volume":"48","author":"Mondal SK","year":"2009","unstructured":"Mondal SK, Sengupta SG. Hydatid cyst of radial bone. JNMA J Nepal Med Assoc. 2009; 48(176):321\u2013323.","journal-title":"JNMA J Nepal Med Assoc"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-008-0797-1"},{"key":"e_1_3_1_30_2","article-title":"High-speed burring with and without the use of surgical adjuvants in the intralesional management of giant cell tumor of bone: a systematic review and meta-analysis [published online ahead of print July 27, 2010]","author":"Algawahmed H","unstructured":"Algawahmed H, Turcotte R, Farrokhyar F, Ghert M. High-speed burring with and without the use of surgical adjuvants in the intralesional management of giant cell tumor of bone: a systematic review and meta-analysis [published online ahead of print July 27, 2010]. 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