Continuous Decompression with Intramedullary Nailing for the Treatment of Unicameral Bone Cysts

Overview

Journal J Child Orthop

Publisher Sage Publications

Specialty Pediatrics

Date 2009 Mar 25

PMID 19308555

Citations 12

Authors

Julio Javier Masquijo

Eduardo Baroni

Horacio Miscione

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the efficacy of decompression of unicameral bone cysts (UBCs) of the long bones with intramedullary nailing and to compare responses to treatment according to location.

Materials And Methods: We evaluated 48 consecutive patients treated between January 1988 and June 2000. Mean age was 10.3 years. Mean follow-up was 9.8 years. Evaluation was performed according to the radiographic criteria of Capanna.

Results: UBCs were located in the proximal humerus (n = 24), humeral shaft (n = 2), proximal femur (n = 19), distal tibia (n = 2) and fibula (n = 1). A total of 62.5% presented a pathological fracture. Successful results were observed in 89.5% (26 total healing, 17 healing with residual radiolucent areas), and there were four recurrences and, in one case, no response to treatment. There was more healing in the humerus than in the femur (92.3% versus 84.2%), and more tendency to restitution ad integrum, although the difference was not statistically significant (P = 0.1499).

Conclusions: Intramedullary nailing is a minimally invasive method, which permits early stability and decompresses the cyst allowing healing. Significant differences were not observed among results from different locations.

Citing Articles

Outcomes and complications of surgical treatment modalities for simple bone cysts of the humerus in children and adolescents.

Scheider P, Farr S Int Orthop. 2024; 48(6):1619-1626.

PMID: 38570348 DOI: 10.1007/s00264-024-06158-9.

Unicameral Bone Cysts: Review of Etiopathogenesis and Current Concepts in Diagnosis and Management.

Rajasekaran R, Krishnamoorthy V, Gulia A Indian J Orthop. 2022; 56(5):741-751.

PMID: 35547341 PMC: 9043174. DOI: 10.1007/s43465-022-00607-6.

Is elastic stable intramedullary nail a good choice for pathological fractures of the proximal femur due to simple bone cyst in pediatric population?.

Li J, Ze R, Rai S, Tang X, Liu R, Hong P Medicine (Baltimore). 2020; 99(39):e22364.

PMID: 32991454 PMC: 7523860. DOI: 10.1097/MD.0000000000022364.

Injectable calcium sulfate vs mixed bone graft of autologous iliac bone and allogeneic bone: Which is the better bone graft material for unicameral bone cyst in humerus?.

Li J, Rai S, Ze R, Tang X, Liu R, Hong P Medicine (Baltimore). 2020; 99(23):e20563.

PMID: 32502025 PMC: 7306287. DOI: 10.1097/MD.0000000000020563.

Continuous Surgical Decompression for Solitary Bone Cyst of the Jaw in a Teenage Patient.

Brunet-Llobet L, Lahor-Soler E, Mashala E, Miranda-Rius J Case Rep Dent. 2019; 2019:9137507.

PMID: 31110825 PMC: 6487169. DOI: 10.1155/2019/9137507.

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