A new treatment of aneurysmal bone cyst by endoscopic curettage without bone grafting

2001 ◽  
Vol 17 (7) ◽  
pp. 1-10 ◽  
Author(s):  
Takanobu Otsuka ◽  
Masaaki Kobayashi ◽  
Isato Sekiya ◽  
Masato Yonezawa ◽  
Fumiaki Kamiyama ◽  
...  
2002 ◽  
Vol 18 (4) ◽  
pp. 430-435 ◽  
Author(s):  
Takanobu Otsuka ◽  
Masaaki Kobayashi ◽  
Masato Yonezawa ◽  
Fumiaki Kamiyama ◽  
Yasusi Matsushita ◽  
...  

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 50 ◽  
Author(s):  
Hazem A. Farouk ◽  
Mostafa Saladin ◽  
Wessam Abu Senna ◽  
Walid Ebeid

Purpose: Assessment of the functional and oncologic outcomes regarding endoscopic curettage of different benign bone tumor types within variable anatomic locations. Patients and methods: During the period between February 2012 and December 2016, 26 patients with symptomatic intra-osseous benign bony lesions were included. The age ranged from 3 up to 49 years (mean 20), of 14 females and 12 males. The follow-up duration ranged from 26 up to 58 months (mean 41). Functional scoring was done according to the Revised Musculoskeletal Tumour Society Rating Scale. Anatomic locations of the lesions included: 6 cases in the proximal tibia, 6 cases in the distal femur, 4 cases in the calcaneus, 3 cases in the proximal humerus, 3 cases in the distal tibia, 2 cases in the talus, 1 case in the proximal femur, and 1 case in the distal fibula. The procedure used 4 mm 30° scope for endoscopy, and high speed burrs 3.5–5 mm for extended curettage. Autogenous bone grafting was done in 5 cases, and adjuvant material (polymethylmethacrylate) was needed in 7 cases. Results: After exclusion of one case that was lost in the follow-up, the remaining 25 cases showed full functional recovery at a period of 8–12 weeks, and improved mean functional scores from 20.2 to 28.6/30 post-operatively, with p value <0.001 which was considered as a statistically significant result. The oncologic outcome showed 24 cases with adequate healing, while 1 case developed recurrence (aneurysmal bone cyst in the proximal tibia) for which, an open revision surgery was performed. Intra-operative fracture occurred in another case with aneurysmal bone cyst of the proximal femur, which was fixed by flexible nails with complete healing. Conclusion: Endoscopic curettage of different types of intra-osseous benign bony lesions proved to be an effective treatment modality with promising oncologic outcome, improved functional scores, and fast functional recovery.


1995 ◽  
Vol 08 (04) ◽  
pp. 213-217 ◽  
Author(s):  
J. N. Chambers ◽  
S. M. Newell ◽  
J. M. Duval

Aneurysmal bone cysts are benign but locally aggressive lytic lesions of bone. Surgical curettage and cancellous bone grafting resulted in complete clinical and partial radiographic resolution of an aneurysmal bone cyst of the distal tibia.


Hand Surgery ◽  
2006 ◽  
Vol 11 (01n02) ◽  
pp. 35-41 ◽  
Author(s):  
Kerem Başarir ◽  
Yener Saǧlik ◽  
Yusuf Yildiz ◽  
Engyn Tezen

Aneurysmal bone cysts are benign lesions that rarely occur in the bones of the hand. Curettage and bone grafting are the most common treatment modalities performed considering the possible functional loss after total excision. Four cases of aneurysmal bone cyst of the hand were identified. Three out of four cases were treated initially with curettage and bone grafting alone without any other local therapy. One had total excision of the lesion. There were two recurrences in the curettage group. Both were treated with excision and followed up for a minimum of 12 months. Curettage alone was associated with high recurrence rates. Total excision of the lesion was the most successful procedure employed. In view of the high recurrence rates following curettage alone and non-neoplastic nature of the lesion, adjuvant treatment modalities such as cryosurgery, electric cauterisation should be considered for initial treatment of ABC. Resection should be preserved for recurrent cases.


Author(s):  
Palanisami R. S. ◽  
Srinivasan Rajappa ◽  
Raghavendran .

<p class="abstract">Aneurysmal bone cyst involving the hand are a rare occurrence especially in the proximal phalanx. We report a case of 5 years old female child with proximal phalanx aneurysmal bone cyst treated without bone grafting. Magnetic resonance imaging may show fluid filled spaces but definite diagnosis can only be obtained histologically. It is a benign lesion still it can involve growth plate hence intervention is necessary. The treatment includes curettage with or without bone grafting.</p>


Author(s):  
Ponnaian Prabhakar R ◽  
Parikshat Gopal ◽  
Rupesh Prasad ◽  
Raja Chatterjee

AbstractPrimary aneurysmal bone cyst of the capitate is a rare disorder and it occurs commonly in the metacarpal bones. There are only three documented cases in literature of its occurrence in carpal bones. We report one such case of a 21-year-old male serving soldier, its clinical presentation, imaging findings, and treatment by curettage and bone grafting.


2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094791
Author(s):  
Jincai Zeng ◽  
Ming Zhou ◽  
Lihua Xu ◽  
Lifan Zhu ◽  
Zhanjun Yan ◽  
...  

A 27-year-old man presented with intermittent right knee pain for 1 year with no previous trauma. Physical examination revealed only tenderness over the patella. Typical fluid–fluid levels were visible on magnetic resonance imaging (MRI), which highly suggested aneurysmal bone cyst (ABC) of the patella. After removal of a large window of thin cortical bone, curettage and bone grafting followed by cerclage wiring was performed. Histology confirmed the initial diagnosis of primary ABC of the patella. At the final follow-up visit at 71 months after surgery, the patient had normal joint activity with no pain or evidence of recurrence. Previous publications indicated patellectomy in the initial series, but curettage and bone grafting have more recently provided excellent results and good graft incorporation in most cases, even for aggressive lesions. In our patient, thorough curettage and bone grafting through a wide cortical window followed by cerclage wiring fixation and figure-eight sutures was a successful treatment option for primary ABC of the patella without articular disruption.


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