Bensahel H, Aigrain Y, Desgrippes Y
J Chir (Paris). 1982 May;119(5):319-23.
Solitary bone cyst is characterized by its tenacity and the risk of recurrence. This fact led the authors to use a surgical procedure very different of the classic ways of treatment as they excluded any bone graft to the benefit of a muscle graft with wide resection. 35 cases have been operated on at several steps of childhood. The recurrence's rate decreased plainly and is no more than 9%. They concern only the wide humeral cysts which were active and close to the fertile plate of the humeral head. These recurrences have been very well tolerated and have not predisposed the child to some pathological fractures. Residual pseudo-cysts were seen in 20% of the cases; they related for us, to some gaps of rehabilitation. This procedure ay be considered as the complement of cortisone's local infection when this one is not able to heal the solitary bone cyst.
孤立性骨囊肿的特点是其韧性和复发风险。这一事实促使作者采用一种与传统治疗方法截然不同的手术程序，因为他们排除了任何骨移植，转而采用广泛切除并进行肌肉移植。在儿童时期的几个阶段对35例患者进行了手术。复发率明显降低，不超过9%。复发仅涉及活跃且靠近肱骨头生长板的广泛肱骨囊肿。这些复发情况耐受性良好，并未使儿童易患某些病理性骨折。20%的病例中可见残留假囊肿；对我们来说，这与一些康复差距有关。当局部注射可的松无法治愈孤立性骨囊肿时，该手术程序可被视为其补充治疗方法。
