Subperiosteal segmental resection and insertion of a fibula graft in the treatment of solitary bone cysts of the humerus

Immenkamp, M.; Ehrenbrink, H.; Knoche, U.

doi:10.1007/bf00462347

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…The defect was bridged with autologous bone graft. Preservation of the periosteum was considered to be an important factor for consistent incorporation of the graft and excellent remodeling with no complication [36,37]. In the present study, no graft was applied and healing depended on the osteogenic potential of the preserved healthy periosteum.…”

Section: Discussionmentioning

confidence: 66%

Subperiosteal resection of fibular aneurysmal bone cyst

Mostafa

2014

Eur J Orthop Surg Traumatol

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Aneurysmal bone cyst (ABC) of the fibula poses a challenge as to the most appropriate treatment particularly in children and adolescents. A prospective study was conducted to evaluate the results of subperiosteal resection of fibular ABCs. Eleven patients (six boys and five girls) with an average age of 12.4 years (6-18 years) were treated by subperiosteal resection of ABC of the fibula. The lesion was juxtaphyseal in three patients (two distal and one proximal), metaphyseal in seven and diaphyseal in one. All cysts were active and centrally located type 2. The modified Enneking scoring system was used for final functional evaluation while a scale proposed by the author was used for final radiological assessment. At the final follow-up, there was no difference in the range of movement, alignment or stability of the ankle or the knee when compared with the opposite side. Three patients complained of mild discomfort on heavy activity. One patient had failure of healing that was related to the use of suction drain. After a mean follow-up of 41.6 months (24-64 months), the mean functional score was 98.8% (93-100%). According to the proposed radiological scale, six patients were rated excellent, three good, one fair and one poor. In conclusion, subperiosteal resection is effective in eradicating fibular ABCs, regenerates a new bone and avoids the morbidity of other techniques.

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Section: Discussionmentioning

confidence: 66%

Subperiosteal resection of fibular aneurysmal bone cyst

Mostafa

2014

Eur J Orthop Surg Traumatol

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“… Data were retrieved from these references: [6, 8, 9, 12, 13, 15, 21, 24, 25, 27, 30, 31, 38, 42, 43, 45, 46, 51, 54, 61, 65, 67] MPA methylprednisolone, DBM demineralized bone matrix, IM nail Intramedulary nail, Screws continuous decompression with cannulated screws aThe exact location of the cyst was not determined in all the papers; therefore, the percentages did not add up to 100 % …”

Section: Resultsmentioning

confidence: 99%

“…Data were retrieved from these references: [6, 8, 9, 12, 13, 15, 21, 24, 25, 27, 30, 31, 38, 42, 43, 45, 46, 51, 54, 61, 65, 67]…”

Section: Resultsmentioning

confidence: 99%

Treatment of unicameral bone cyst: Systematic review and meta analysis

Kadhim

Thacker

Kadhim³

et al. 2014

Journal of Children's Orthopaedics

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PurposeDifferent treatment modalities have been utilized to treat unicameral bone cyst (UBC), but evidence has not been fully described to support one treatment over another and the optimal treatment is controversial. The aim of this quantitative systematic review was to assess the effectiveness of different UBC treatment modalities.MethodsWe utilized Pubmed to isolate retrospective studies on patients with UBC who received any kind of treatment. The included studies needed to have a minimum sample size of 15 patients, and have provided data on radiographic healing outcome.ResultsSixty-two articles were selected for the meta-analysis from a total of 463 articles. The cumulative sample size was 3,211 patients with 3,217 UBC, and male to female ratio was 2.2:1. The summary or pool estimate of methylprednisolone acetate (MPA) injection resulted in a healing rate of (77.4 %) that was comparable to bone marrow injection (77.9 %). A higher healing rate was observed with MPA injection when inner wall disruption was performed. The pool estimate of bone marrow with demineralized bone matrix injection was high (98.7 %). UBC healing rate after surgical curettage was comparable whether autograft or allograft was utilized (90 %). UBC treatment with flexible intramedullary nails without curettage provided almost 100% healing rate, while continuous decompression with cannulated screws provided 89 % healing rate. Conservative treatment indicated a healing rate of 64.2, 95 % CI (26.7–101.8).ConclusionsActive treatment for UBC provided variable healing rates and the outcomes were favorable relative to conservative treatment. Due to the heterogeneity of the studies and reporting bias, the interpretation of these findings should be handled with caution.

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“…1,4,16 The remaining 35% to 45% of patients had recurrence and required additional open surgery. 1,14,15,29,30 Aggressive surgical options have been related to more complications including infection, intraoperative fractures, intraoperative blood loss, epiphyseal arrest, shortening of the limb, coxa vara, physeal damage, and a prolonged period of postoperative immobilization. 1,14,15,29,30 The treatment of simple bone cysts was drastically changed by the strategy of percutaneous injection of methylprednisolone acetate.…”

Section: Discussionmentioning

confidence: 99%