Titanium Intramedullary Nailing for Treatment of Simple Bone Cysts of the Long Bones in Children

2010 ◽  
Vol 55 (3) ◽  
pp. 35-38 ◽  
Author(s):  
Z Pogorelić ◽  
D Furlan ◽  
M Biočić ◽  
J Meštrović ◽  
I Jurić ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Long Bones ◽  
Bone Cysts

scholarly journals Elastic intramedullary nailing and DBM-Bone marrow injection for the treatment of simple bone cysts

2007 ◽  
Vol 5 (1) ◽  
pp. 111 ◽  
Author(s):  
Anastasios D Kanellopoulos ◽  
Andreas F Mavrogenis ◽  
Panayiotis J Papagelopoulos ◽  
Panayotis N Soucacos
Keyword(s):  
Bone Marrow ◽  
Intramedullary Nailing ◽  
Bone Cysts ◽  
Elastic Intramedullary Nailing

Flexible intramedullary nailing in simple bone cysts of the proximal humerus

2013 ◽  
Vol 22 (5) ◽  
pp. 475-480 ◽  
Author(s):  
Soo-Min Cha ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
Dong-Hun Kang
Keyword(s):  
Intramedullary Nailing ◽  
Proximal Humerus ◽  
Bone Cysts ◽  
Flexible Intramedullary Nailing

scholarly journals Efficacy of treatment interventions for primary aneurysmal bone cysts: a systematic review

2021 ◽  
Vol 2 (2) ◽  
pp. 125-133
Author(s):  
Luckshman Bavan ◽  
Asanka Wijendra ◽  
Alpesh Kothari
Keyword(s):  
Systematic Review ◽  
Case Series ◽  
Injection Therapy ◽  
Long Bones ◽  
Bone Cysts ◽  
Success Rates ◽  
Eligibility Criteria ◽  
Treatment Groups ◽  
Aneurysmal Bone Cysts ◽  
Quality Evidence

Aims Aneurysmal bone cysts (ABCs) are locally aggressive lesions typically found in the long bones of children and adolescents. A variety of management strategies have been reported to be effective in the treatment of these lesions. The purpose of this review was to assess the effectiveness of current strategies for the management of primary ABCs of the long bones. Methods A systematic review of the published literature was performed to identify all articles relating to the management of primary ABCs. Studies required a minimum 12-month follow-up and case series reporting on under ten participants were not included. Results A total of 28 articles meeting the eligibility criteria were included in this review, and all but one were retrospective in design. Due to heterogeneity in study design, treatment, and outcome reporting, data synthesis and group comparison was not possible. The most common treatment option reported on was surgical curettage with or without a form of adjuvant therapy, followed by injection-based therapies. Of the 594 patients treated with curettage across 17 studies, 86 (14.4%) failed to heal or experienced a recurrence. Similar outcomes were reported for 57 (14.70%) of the 387 patients treated with injection therapy across 12 studies. Only one study directly compared curettage with injection therapy (polidocanol), randomizing 94 patients into both treatment groups. This study was at risk of bias and provided low-quality evidence of a lack of difference between the two interventions, reporting success rates of 93.3% and 84.8% for injection and surgical treatment groups, respectively. Conclusion While both surgery and sclerotherapy are widely implemented for treatment of ABCs, there is currently no good quality evidence to support the use of one option over the other. There is a need for prospective multicentre randomized controlled trials (RCTs) on interventions for the treatment of ABCs. Cite this article: Bone Jt Open 2021;2(2):125–133.

scholarly journals Elastic intramedullary nailing combined with methylprednisolone acetate injection for treatment of unicameral bone cysts in children: a retrospective study

2020 ◽  
pp. 1-8
Author(s):  
JianWu Zhou ◽  
ShangKun Ning ◽  
Yuxi Su ◽  
Chuankang Liu
Keyword(s):  
Blood Loss ◽  
Intramedullary Nailing ◽  
Methylprednisolone Acetate ◽  
Bone Cysts ◽  
Hospitalization Time ◽  
Group A ◽  
Grade Ii ◽  
Group B ◽  
Elastic Intramedullary Nailing ◽  
Grade Iii

Purpose The aetiology of unicameral bone cysts (UBCs) is unclear. This study aims to evaluate the feasibility of elastic intramedullary nailing (EIN) combined with injections of methylprednisolone acetate (MPA) for the treatment of UBCs in children. Methods We retrospectively analyzed 53 children with UBCs in our hospital between January 2010 and April 2016. A total of 24 patients (Group A) were treated by EIN and MPA, whilst 29 patients (Group B) were treated by curettage, bone grafts and EIN fixation. The radiographs of the UBCs were evaluated following the Capanna criteria. All patients were followed-up on the third, sixth, 12th, 24th and 36th months. Fixation time, hospitalization time and complications were evaluated. Results In Group A, the mean number of MPA injections was 1.8 (1 to 3). Based on radiographic evaluation, eight patients were healed (Capanna grade I), 14 were healed with residual cysts (Capanna grade II), one showed recurrence (Capanna grade III) and one showed no response to the treatment (Capanna grade IV). In Group B, 11 patients were evaluated as Capanna grade I, 12 as Capanna grade II, three as Capanna grade III and three as Capanna grade IV. There was significant difference in the early postoperative function activity (p < 0.001), hospitalization time (p = 0.028), blood loss during surgery (p < 0.001) and surgery time (p < 0.001). Conclusion The combination of EIN and MPA for the treatment of UBCs in children is feasible, has little operative trauma, short surgery time, short hospitalization time, less blood loss and a low risk of incision infection. Level of evidence: III

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