Aneurysmal Bone Cysts Treated by Curettage, Cryotherapy and Bone Grafting

Abstract

Please be advised that this information was generated on 2018-05-12 and may be subject to change. There was local recurrence in one patient. Two patients developed deep wound infections and one had a postoperative fracture. ANEURYSMAL BONE CYSTS TREATED BY CURETTAGE, CRYOTHERAPY AND BONE GRAFTINGWe compared our results with previous reports in which several different methods of treatment had been used and concluded that curettage with adjuvant PATIENTS AND METHODS cryotherapy had similar results to those of marginal resection, and that no major bony reconstruction was We performed a retrospective study of all patients (reated required.for aneurysmal bone cyst between 1969 and 1995. ThisWe recommend the use of cryotherapy as an adjuvant included review of all patient records, radiographs and to the surgical treatment of aneurysmal bone cysts. It pathology reports. The diagnosis had been made on both provides local tumour control. Combination with bone radiological and histological examination. Only patients grafting achieved consolidation of the lesion in all our with the diagnosis of aneurysmal bone cyst and no other abnormal histological findings were included.There were 12 females and 14 males (27 aneurysmal bone cysts). The mean age at which cryotherapy was first performed was 2.1,7 years (4.2 to 49.6) and the distribution is shown in Table 1. The bones involved are shown in Table II. Aneurysmal bone cyst is a rare benign tumour-like lesion All had been treated by curettage and cryotherapy. Age, of bone of unknown origin. There is controversy as to gender, history, anatomical location, tissue pathology, comwhether it is a distinct radiological and pathological entity plications, function after surgery and length of follow-up or a pathophysiological change superimposed on a pre-had been recorded. Staging was accomplished using the patients.

Aneurysmal bone cyst of mandibular condyle: A case report and review of the literature

“…A variety of treatments have been recommended for ABC, ranging from long-term observation which may lead to spontaneous regression to simple curettage, cryotherapy, excision, block resection and bone grafting, therapeutic embolization, open packing, intralesional calcitonin and methylprednisolone injection (Schreuder et al, 1997;Kalantar Motamedi, 1998;Gladden et al, 2000;Kumar et al, 2009). The combination with other pathologic entities, such as ossifying fibroma, central giant cell granuloma, or benign osteoblastoma with a high recurrence rate, might indicate that curettage is not an adequate treatment strategy, and resection should be performed (Sun et al, 2010).…”

Argon Beam Coagulation as Adjuvant Treatment after Curettage of Aneurysmal Bone Cysts: A Preliminary Study

“…Adjuvant therapy can extend the zone of tissue [10,23] when adjuvant therapy was used, many have observed no appreciable benefit [16,24,26]. Nonetheless, the theoretic advantage of broadening the zone of tissue necrosis to reach residual microscopic tumor cells after curettage is intriguing, especially with aggressive or recurrent lesions.…”

“…Whether this was attributable to the adjuvant used or related to the technique of curettage is unknown. Complications after the use of established adjuvants, such as liquid nitrogen or phenol, are well documented, with published rates ranging from 6% to 25% [15,16,26,30].…”

A treatment strategy for proximal femoral benign bone lesions in children and recommended surgical procedures: retrospective analysis of 62 patients

“…In locally aggressive lesions such as ABCs, surgical margins should be extended beyond the reactive zone of the tumor by use of a high-speed burr and cautery [18][19][20]. Chemical adjuvants can be used [21][22][23][24], and however, their contribution to local recurrence is still questionable. Finally, cancellous bone grafting should be preferred to fill the defects, because this allows for bony healing and remodeling, which are important for long-term heavy mechanical loading [25].…”