Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2024; 15(3): 302-309
Published online Mar 18, 2024. doi: 10.5312/wjo.v15.i3.302
New method of local adjuvant therapy with bicarbonate Ringer’s solution for tumoral calcinosis: A case report
Takashi Noguchi, Akio Sakamoto, Kensaku Kakehi, Shuichi Matsuda
Takashi Noguchi, Akio Sakamoto, Kensaku Kakehi, Shuichi Matsuda, Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan
Co-corresponding authors: Takashi Noguchi and Akio Sakamoto.
Author contributions: Noguchi T, Sakamoto A, Kakehi K and Matsuda S were participated in the treatment; Sakamoto A drafted the manuscript; All authors reviewed the manuscript and approved the final version of the manuscript. Noguchi T and Sakamoto A contributed equally to this work as co-corresponding authors. This invention was achieved through the cooperation of Noguchi T and Sakamoto A, they contributed efforts of equal substance throughout the research process, the designation of co-corresponding authorship accurately reflects our team's collaborative spirit and equal contributions.
Informed consent statement: The analysis used anonymous clinical data that were obtained after each patient had been notified at the Kyoto University home page that the data could be used for a clinical study.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Akio Sakamoto, MD, PhD, Associate Professor, Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, Japan. akiosaka@kuhp.kyoto-u.ac.jp
Received: December 3, 2023
Peer-review started: December 3, 2023
First decision: December 28, 2023
Revised: January 6, 2024
Accepted: January 24, 2024
Article in press: January 24, 2024
Published online: March 18, 2024
Processing time: 103 Days and 4.1 Hours
Core Tip

Core Tip: Tumoral calcinosis, which occurs in 2%-3% of hemodialysis patients, involves calcium phosphate deposits, thus making surgical resection challenging. Hydroxyapatite, the main component of tumoral calcinosis, infiltrates tissues extensively. A bicarbonate Ringer’s solution is used post-resection. A 49-year-old hemodialysis patient with calcified shoulder, hip, and foot lesions underwent the bicarbonate dissolution method. After resection, the operative field was washed with the solution. This simple and effective treatment offers a novel approach for managing tumoral calcinosis in hemodialysis patients.