Foot Ankle Int. 2012 May;33(5):424-9. doi: 10.3113/FAI.2012.0424.
Calcaneal bone cysts with pathological fractures are rare. There is no clear consensus on their management with a few reports of open curettage, bone grafting and internal fixation in the treatment of pathological calcaneal fractures. No minimally invasive management has been reported before.
We reviewed our experience in treating five patients with pathologic calcaneus fractures associated with pre-existing bone cysts who underwent percutaneous cyst curettage, fracture reduction, screw fixation and calcium sulfate cement injection between 2004 and 2009.
All of the pathologic fractures healed with satisfactory radiological results. There were no soft tissue complications or cyst recurrences. Partial weightbearing with plaster cast immobilization was allowed at 4 weeks postoperatively and full weightbearing was allowed at 6 weeks postoperatively.
This percutaneous technique provided a minimally invasive option for treatment of a calcaneal bone cyst with pathologic fracture.
伴有病理骨折的跟骨骨囊肿较为罕见。目前对于此类疾病的治疗尚无明确共识，少数报道采用切开刮除、植骨和内固定治疗病理性跟骨骨折。既往尚无微创治疗方法的报道。
我们回顾了 2004 年至 2009 年间采用经皮囊肿刮除、骨折复位、螺钉固定和硫酸钙水泥注射治疗 5 例伴有先前存在的骨囊肿的病理性跟骨骨折患者的经验。
所有病理骨折均愈合，影像学结果满意。无软组织并发症或囊肿复发。术后 4 周开始部分负重石膏固定，术后 6 周开始完全负重。
这种经皮技术为治疗伴有病理骨折的跟骨骨囊肿提供了一种微创选择。
