Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts

Background. Simple bone cysts are benign bony lesions. Treatment strategies are varied for this particular pathology. It remains controversial as to what the ideal treatment strategy is. Recently, bony substitute injections have emerged as a potential option for treatment. This paper aimed to descri...

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Main Authors: B. Sivakumar, V. V. G. An, A. Dobbe, D. Drynan, D. Little
Format: Article
Language:English
Published: Hindawi Limited 2023-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2023/3270372
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author B. Sivakumar
V. V. G. An
A. Dobbe
D. Drynan
D. Little
author_facet B. Sivakumar
V. V. G. An
A. Dobbe
D. Drynan
D. Little
author_sort B. Sivakumar
collection DOAJ
description Background. Simple bone cysts are benign bony lesions. Treatment strategies are varied for this particular pathology. It remains controversial as to what the ideal treatment strategy is. Recently, bony substitute injections have emerged as a potential option for treatment. This paper aimed to describe our institution’s experience in using bony substitute injections to treat unicameral bone cysts. Methods. A retrospective review of consecutive patients over an 84-month period at a tertiary paediatric hospital was performed. Information regarding patients’ presentation, diagnosis, and management was recorded and summarised. Results. A total of 15 patients were included in our study, with a mean follow-up of 118 weeks. 86.7% of patients demonstrated clinical resolution (absence of pain at the latest follow-up) and 80% of patients demonstrated radiographic resolution. Only one patient sustained a subtrochanteric fracture post-index operation, whilst two others demonstrated redevelopment of cystic architecture on follow-up. Conclusion. This study demonstrates that bone substitute injection is potentially a minimally invasive and seemingly successful technique in the treatment of unicameral bone cysts and other simple bone lesions. Further randomised and comparative studies are required to confirm and validate our findings.
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spelling doaj.art-5aa9f6d41b3d4e4987a26276129431c62024-10-03T05:48:36ZengHindawi LimitedAdvances in Orthopedics2090-34722023-01-01202310.1155/2023/3270372Injection of a Bone Substitute in the Treatment of Unicameral Bone CystsB. Sivakumar0V. V. G. An1A. Dobbe2D. Drynan3D. Little4Department of OrthopaedicsRoyal North Shore HospitalDepartment of OrthopaedicsDepartment of OrthopaedicsDepartment of OrthopaedicsBackground. Simple bone cysts are benign bony lesions. Treatment strategies are varied for this particular pathology. It remains controversial as to what the ideal treatment strategy is. Recently, bony substitute injections have emerged as a potential option for treatment. This paper aimed to describe our institution’s experience in using bony substitute injections to treat unicameral bone cysts. Methods. A retrospective review of consecutive patients over an 84-month period at a tertiary paediatric hospital was performed. Information regarding patients’ presentation, diagnosis, and management was recorded and summarised. Results. A total of 15 patients were included in our study, with a mean follow-up of 118 weeks. 86.7% of patients demonstrated clinical resolution (absence of pain at the latest follow-up) and 80% of patients demonstrated radiographic resolution. Only one patient sustained a subtrochanteric fracture post-index operation, whilst two others demonstrated redevelopment of cystic architecture on follow-up. Conclusion. This study demonstrates that bone substitute injection is potentially a minimally invasive and seemingly successful technique in the treatment of unicameral bone cysts and other simple bone lesions. Further randomised and comparative studies are required to confirm and validate our findings.http://dx.doi.org/10.1155/2023/3270372
spellingShingle B. Sivakumar
V. V. G. An
A. Dobbe
D. Drynan
D. Little
Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
Advances in Orthopedics
title Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
title_full Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
title_fullStr Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
title_full_unstemmed Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
title_short Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts
title_sort injection of a bone substitute in the treatment of unicameral bone cysts
url http://dx.doi.org/10.1155/2023/3270372
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