Ruiz-Arellanos K, Larios F, Inchaustegui ML, Gonzalez MR, Pretell-Mazzini J. Treatment and Outcomes of 4,973 Unicameral Bone Cysts: A Systematic Review and Meta-Analysis.
JBJS Rev 2024;
12:01874474-202401000-00002. [PMID:
38181108 DOI:
10.2106/jbjs.rvw.23.00159]
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Abstract
» Unicameral bone cysts (UBCs) can increase the risk of pathologic fractures of both long and short bones. Although multiple treatments exist, data are conflicting regarding optimal management.
» We sought to analyze treatment strategies for UBCs and their rates of successful treatment.
» Success rates were analyzed according to treatment modality, with emphasis on filling techniques and/or decompression associated with curettage, and injection compounds.
» Curettage with bone substitute and cyst decompression was identified as a highly successful technique for UBC treatment.
» Decompressing the cyst wall after injection, regardless of the specific compound used, had a greater potential to enhance healing rates.
» The management decision should be individually guided within the patient's context.
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