Çelik Suat, Uludağ Abuzer, Tosun Hacı Bayram, Serbest Sancar, Gürger Murat, Kılıç Sabahattin
Department of Orthopaedics and Traumatology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
Department of Orthopaedics and Traumatology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
Pan Afr Med J. 2016 Aug 16;24:311. doi: 10.11604/pamj.2016.24.311.9624. eCollection 2016.
Curettage of the cyst and bone grafting are the most common methods used in the treatment of unicameral bone cysts (UBC) and aneurysmal bone cysts (ABC). Recurrence of these cysts is often associated with insufficient curettage of the cyst during surgery. In this study, we aimed to evaluate the effect of insufficient curettage on recurrence in patients with UBC and ABC.
The retrospective study included 18 patients with UBC and 14 patients with ABC that were surgically treated by curettage and bone grafting in our clinic between 2006-2013. Mean age was 19.80 (range, 4-50) years in the patients with UBC and 21.76 (range, 4-56) in the patients with ABC. The diagnosis of the cysts was established both clinically and radiologically. Mean follow-up period was 36 (range, 6-60) months both in the patients with UBC and ABC. The patients with recurrence underwent a second curettage and grafting procedure. Healing and recurrence were evaluated according to modified Neer's scale.
Recurrence occurred in 8 patients. Of these, 5 patients underwent a second curettage and grafting procedure and 3 patients were lost to follow-up. Complete healing occurred in all the patients that underwent a second curettage and grafting procedure.
The achievement of complete healing in the patients that underwent a second curettage and grafting procedure indicates that the recurrence of UBC and ABC is associated with insufficient curettage.
囊肿刮除术和植骨术是治疗单纯性骨囊肿（UBC）和骨动脉瘤性囊肿（ABC）最常用的方法。这些囊肿的复发通常与手术中囊肿刮除不彻底有关。在本研究中，我们旨在评估刮除不彻底对UBC和ABC患者复发的影响。
这项回顾性研究纳入了2006年至2013年间在我们诊所接受刮除术和植骨术治疗的18例UBC患者和14例ABC患者。UBC患者的平均年龄为19.80岁（范围4至50岁），ABC患者的平均年龄为21.76岁（范围4至56岁）。囊肿的诊断通过临床和影像学检查确定。UBC和ABC患者的平均随访期均为36个月（范围6至60个月）。复发患者接受了第二次刮除和植骨手术。根据改良的Neer量表评估愈合和复发情况。
8例患者出现复发。其中，5例患者接受了第二次刮除和植骨手术，3例患者失访。所有接受第二次刮除和植骨手术的患者均实现了完全愈合。
接受第二次刮除和植骨手术的患者实现完全愈合表明，UBC和ABC的复发与刮除不彻底有关。
