Kuner E H, Kirchner R, Häring M
Chirurg. 1977 Dec;48(12):781-5.
Aneurysmal and juvenile bone cysts are characterized by frequent recurrence and pathological fractures caused by such bone cysts also recur frequently. Curettage of the cyst and spongiosaplasty is often unsuccessful. According to our experience, excochleation must be followed by drilling the cyst wall and fraising off the compact substance. Densely packed homologous spongiosa must then be implanted. In case of recurrence or if the cyst increases in size, radical en-bloc resection is indicated and the defect must be bridged by osteoplastic and osteosynthetic methods. We have treated four difficult cases successfully with this procedure. In one case, resection with limb shortening lead to full recovery.
动脉瘤性骨囊肿和青少年骨囊肿的特点是频繁复发，由此类骨囊肿引起的病理性骨折也经常复发。囊肿刮除术和海绵状骨成形术往往不成功。根据我们的经验，刮除囊肿后必须对囊肿壁进行钻孔，并去除致密物质。然后必须植入紧密填充的同种异体松质骨。如果复发或囊肿增大，则需行根治性整块切除，缺损必须通过骨成形术和骨内固定术修复。我们用这种方法成功治疗了4例疑难病例。其中1例切除术后肢体短缩，但最终完全康复。
