Percutaneous Method of Management of Simple Bone Cyst

Introduction. Simple bone cyst or unicameral bone cysts are benign osteolytic lesions seen in metadiaphysis of long bones in growing children. Various treatment modalities with variable outcomes have been described in the literature. The case report illustrates the surgical technique of minimally in...

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Main Author: O. P. Lakhwani
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/636197
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author O. P. Lakhwani
author_facet O. P. Lakhwani
author_sort O. P. Lakhwani
collection DOAJ
description Introduction. Simple bone cyst or unicameral bone cysts are benign osteolytic lesions seen in metadiaphysis of long bones in growing children. Various treatment modalities with variable outcomes have been described in the literature. The case report illustrates the surgical technique of minimally invasive method of treatment. Case Study. A 14-year-old boy was diagnosed as active simple bone cyst proximal humerus with pathological fracture. The patient was treated by minimally invasive percutaneous curettage with titanium elastic nail (TENS) and allogenic bone grafting mixed with bone marrow under image intensifier guidance. Results. Pathological fracture was healed and allograft filled in the cavity was well taken up. The patient achieved full range of motion with successful outcome. Conclusion. Minimally invasive percutaneous method using elastic intramedullary nail gives benefit of curettage cyst decompression and stabilization of fracture. Allogenic bone graft fills the cavity and healing of lesion by osteointegration. This method may be considered with advantage of minimally invasive technique in treatment of benign cystic lesions of bone, and the level of evidence was therapeutic level V.
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spelling doaj-art-3da1728c78954d48b3e5f8e204bc41a82025-02-03T01:24:02ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/636197636197Percutaneous Method of Management of Simple Bone CystO. P. Lakhwani0ESIC Postgraduate Institute of Medical Sciences and Research, ESI Hospital, Ring road, Basaidarapur, New Delhi 110015, IndiaIntroduction. Simple bone cyst or unicameral bone cysts are benign osteolytic lesions seen in metadiaphysis of long bones in growing children. Various treatment modalities with variable outcomes have been described in the literature. The case report illustrates the surgical technique of minimally invasive method of treatment. Case Study. A 14-year-old boy was diagnosed as active simple bone cyst proximal humerus with pathological fracture. The patient was treated by minimally invasive percutaneous curettage with titanium elastic nail (TENS) and allogenic bone grafting mixed with bone marrow under image intensifier guidance. Results. Pathological fracture was healed and allograft filled in the cavity was well taken up. The patient achieved full range of motion with successful outcome. Conclusion. Minimally invasive percutaneous method using elastic intramedullary nail gives benefit of curettage cyst decompression and stabilization of fracture. Allogenic bone graft fills the cavity and healing of lesion by osteointegration. This method may be considered with advantage of minimally invasive technique in treatment of benign cystic lesions of bone, and the level of evidence was therapeutic level V.http://dx.doi.org/10.1155/2013/636197
spellingShingle O. P. Lakhwani
Percutaneous Method of Management of Simple Bone Cyst
Case Reports in Orthopedics
title Percutaneous Method of Management of Simple Bone Cyst
title_full Percutaneous Method of Management of Simple Bone Cyst
title_fullStr Percutaneous Method of Management of Simple Bone Cyst
title_full_unstemmed Percutaneous Method of Management of Simple Bone Cyst
title_short Percutaneous Method of Management of Simple Bone Cyst
title_sort percutaneous method of management of simple bone cyst
url http://dx.doi.org/10.1155/2013/636197
work_keys_str_mv AT oplakhwani percutaneousmethodofmanagementofsimplebonecyst