|Table of Contents|

Elastic intramedullary nail combined curettage and bone grafting for the treatment of humeral bone cysts in children

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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

Issue:
2018年第12期
Page:
1125-1129
Research Field:
临床医学
Publishing date:

Info

Title:

Elastic intramedullary nail combined curettage and bone grafting for the treatment of humeral bone cysts in children

Author(s):

ZHOU Rong WU Jun ZHENG Chao LI Ming

Department of Orthopaedics,  Key Laboratory of Child Development and Disorders of Ministry of Education, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical University, Chongqing, 400014 China

Keywords:

bone cysts elastic intramedullary nail bone graft therapies combined   modality comparative effectiveness research

PACS:
R181.32;R687.3;R738.1
DOI:
-
Abstract:

ObjectiveTo investigate the clinical therapeutic effect of elastic intramedullary nail combined curettage and bone grafting for the treatment of simple humeral bone cysts in children, and the impact of cyst activity level on curative effect. MethodsWe retrospectively analyzed the details of children with simple humeral bone cysts who were treated in our department from May 2008 to April 2017. The children were treated either with elastic intramedullary nail combined curettage and bone grafting, or only with curettage and bone grafting. The modified Neer standards were used to evaluate the activity level and the treatment results. Efficacy was evaluated with Chisquare test. ResultsFortytwo cases were included and followed up for average 37.6 months. Among 22 cases treated with elastic intramedullary nail and bone grafting, 14 cases were completely healed, 7 cases were partially healed, and 1 case recurred. The other 20 children were treated only with curettage and bone grafting, in which 9 children were completely healed, 4 children were partially healed, 4 children showed no response and 3 children recurred. The curative rate was 95.5% (21/22) and 65.0 % (13/20), respectively, P=0.034. There were 5 cases were completely healed in 22 active cysts, but that were 18 cases in 20 latent cysts (P<0.01). ConclusionElastic intramedullary nail combined curettage and bone grafting is an effective treatment option for simple bone cysts of the humerus in children, it’s also reasonable for the treatment of active cysts, which have lower completely healed rates than latent cysts.

References:

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Memo

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Last Update: 2018-07-03