Aneurysmal Bone Cysts Treated By Curettage, Cryotherapy And Bone Grafting

Schreuder, H.W.B.; Veth, R.P.H.; Pruszczyński, M; Lemmens, J.A.M.; Koops, Heimen Schraffordt; Molenaar, W.M.

doi:10.1302/0301-620x.79b1.7097

Cited by 140 publications

(67 citation statements)

References 30 publications

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“…Despite low rates of recurrence, cryosurgery has not been widely adopted likely due its unfamiliarity and complication profile which includes postoperative fracture and skin necrosis/wound infection as high as 14 and 8 %, respectively [22,[40][41][42]. Marcove et al reported a recurrence rate of 17.6 % with curettage and the pouring of liquid nitrogen, which reduced to 4 % after a second cryosurgery [22].…”

Section: Cryosurgerymentioning

confidence: 99%

“…With regard to aerosolized nitrogen, studies suggest that low rates of recurrence are achievable. Schreuder et al reported a 3.7 % recurrence rate with nitrogen spray, and in a series of 80 patients treated with curettage and nitrogen spray, Peeters et al reported a 5 % rate of recurrence, which was all treated successfully after another treatment of cryosurgery [41,42].…”

Section: Cryosurgerymentioning

confidence: 99%

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Current management of aneurysmal bone cysts

Park

Yang

Sheppard

et al. 2016

Curr Rev Musculoskelet Med

184

259

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Aneurysmal bone cysts (ABCs) are benign bone lesions arising predominantly in the pediatric population that can cause local pain, swelling, and pathologic fracture. Primary lesions, which constitute roughly two thirds of all ABCs, are thought to be neoplastic in nature, with one third of ABCs arising secondary to other tumors. Diagnosis is made with various imaging modalities, which exhibit characteristic features such as Bfluid-fluid levels,^although biopsy is critical, as telangiectatic osteosarcoma cannot be excluded based on imaging alone. Currently, the standard of care and most widely employed treatment is intralesional curettage. However, tumor recurrence with curettage alone is common and has driven some to propose a multitude of adjuvants with varying efficacy and risk profiles. Historically, therapies such as en bloc resection or radiation therapy were utilized as an alternative to decrease the recurrence rate, but these therapies imposed high morbidity. As a result, modern techniques now seek to simultaneously reduce morbidity and recurrence, the pursuit of which has produced preliminary study into minimally invasive percutaneous treatments and medical management.

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Section: Cryosurgerymentioning

confidence: 99%

Section: Cryosurgerymentioning

confidence: 99%

Current management of aneurysmal bone cysts

Park

Yang

Sheppard

et al. 2016

Curr Rev Musculoskelet Med

184

259

View full text Add to dashboard Cite

show abstract

“…When used in combination with bone grafting, they achieved bone consolidation in all of the patients. 8 However, most of the past studies involve patients with large cysts of mostly long bones. Again, smaller bones such as cuneiforms, to this date, have not been reported.…”

Section: Discussionmentioning

confidence: 99%

Aneurysmal Bone Cyst of the Middle Cuneiform: A case report

Kline¹

2008

FAOJ

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“…Mechanical curettage by highspeed burr and acrylic cementation decreased recurrence rates to merely 10-20% [6]. The failure of treatment directed orthopedic surgeons toward new adjuvant treatment modalities such as irradiation, acrylic cementation, phenol application, and cryosurgery [6,18]. Although irradiation was found to be effective, its use has declined due to postirradiation sarcoma [16].…”

Section: Discussionmentioning

confidence: 99%

“…When it is applied directly to the area of curetted tumors, it kills residual tumor and normal cells on the surface. Because of its superficial effect without penetrating beyond the lesion margin, recurrence rates are not lower [18].…”

Section: Discussionmentioning

confidence: 99%

Early results of a modified technique of cryosurgery

Dabak

Tomak

Pişkin

et al. 2003

International Orthopaedics

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The objective of this study was to present a simple, convenient, and reliable technique for the application of liquid nitrogen and to evaluate the effectiveness of curettage and cryosurgery. Between 1992 and 2002, 24 patients who had benign aggressive and low-grade malignant bone tumors were treated by curettage and cryosurgery. While cryosurgery was applied by the "direct pour" technique in the first seven patients, it was applied by the "pressurized spraying" technique in the others. Functional results were graded according to Enneking. The mean follow-up was 47 (range 9−131) months. There were no local recurrences. Three patients who underwent the direct pour technique developed partial skin necrosis. The functional results were excellent in 14 patients, good in six, and fair in four. When compared with previous reports on cryosurgery and its application techniques, we detected no tumor recurrence or complications, including soft-tissue injury, infection, and late fracture with liquid nitrogen applied by the pressurized spraying technique.Résumé L'objectif de cette étude était présenter une technique simple, pratique et fiable pour l'application d'azote liquide et évaluer l'efficacité du curetage avec cryochirurgie. Entre 1992 et 2002, vingt-quatre malades qui avaient des tumeurs osseuses bénignes agressives ou des tumeurs malignes de bas grade ont été traités par curetage et cryochirurgie. Cette cryochirurgie a été appliquée par versement direct chez les sept premiers malades, et par une technique de vaporisation chez les autres. Les résultats fonctionnels ont été notés d'après Enneking. Le suivi moyen était de 47 mois (9 −131). Il n'y avait pas de récidive locale. Trois malades qui ont subi le versement direct ont développé une nécrose cutanée partielle. Les résultats fonctionnels étaient excellents pour 14 malades, bons pour six, et médiocres pour quatre. En comparant avec les précédentes publications nous n'avons retrouvé ni récidive de la tumeur ni les complications incluant l'atteinte des parties molles, l'infection ou la fracture tardive lorsque l'azote liquide a été appliqué par la technique de vaporisation.

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Aneurysmal Bone Cysts Treated By Curettage, Cryotherapy And Bone Grafting

Cited by 140 publications

References 30 publications

Current management of aneurysmal bone cysts

Current management of aneurysmal bone cysts

Aneurysmal Bone Cyst of the Middle Cuneiform: A case report

Early results of a modified technique of cryosurgery

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