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Medicine (Baltimore). 2019 Jun;98(25):e16152. doi: 10.1097/MD.0000000000016152.

Comparison of curettage and bone grafting combined with elastic intramedullary nailing vs curettage and bone grafting in the treatment of long bone cysts in children.

Zhang K1,2,3,4, Wang Z1,2,3,4, Zhang Z1,2,3,4.

Author information

1
Department of Orthopedics, Children's Hospital of Chongqing Medical University.
2
Ministry of Education Key Laboratory of child Development and Critical Disorders.
3
China International Science and Technology Cooperation base of Child development and Critical Disorders.
4
Chongqing Key Laboratory of Pediatrics, Chongqing Medical University Affiliated Children's Hospital, China.

Abstract

To compare the efficacy of curettage and bone grafting combined with elastic intramedullary nailing (EIN) vs curettage and bone grafting in the treatment of long bone cysts in children and to clarify the necessity of using EIN in the treatment of bone cysts.Sixty-two patients were involved in this study from Jan. 2009 to Sept. 2017 (43 males, 19 females; 27 humeri, 35 femurs); the patients were assigned to an EIN group, comprising 30 patients who underwent curettage and bone grafting combined with EIN, or to a non-elastic intramedullary nailing (NEIN) group, comprising 32 patients who underwent curettage and bone grafting alone. The prognosis of the 2 groups was assessed with reference to the standard of Capanna.No statistically significant differences in sex, age, location, activity, pathological fracture, cyst volume, operative time and intraoperative blood loss were found between the 2 groups (P > .05). The effective rate was 90.0% in the EIN group and 68.8% in the NEIN group, and the difference was statistically significant (P < .05).Compared to simple curettage and bone grafting, curettage and bone grafting combined with EIN treatment can significantly improve the prognosis of children with bone cysts. It is recommended that EIN be added to bone cyst curettage and bone grafting.

PMID:
31232970
PMCID:
PMC6636955
DOI:
10.1097/MD.0000000000016152
[Indexed for MEDLINE]
Free PMC Article

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