Minimal curettage, multiple drilling, and continuous decompression through a cannulated screw for treatment of calcaneal simple bone cysts in children.
This report concerns a series of 12 patients with simple bone cysts of the calcaneus, who were treated between 1988 and 2000 by a minimal surgical intervention of curettage, multiple drilling and continuous decompression through insertion of a cannulated screw. Inserted screws were made of titanium in 8 cases and ceramics in 4 cases. The mean operative time was 58.8 +/- 25.4 minutes, and complete healing was achieved in 11 cases after 9.2 +/- 6.4 months. One patient needed an additional surgery for replacement of a titanium screw. Final results were excellent after a mean follow up of 91 +/- 52.1 months. This series of patients represents one of the largest reported series of calcaneal simple bone cyst in conjunction with long-term follow-up. Our technique of minimal curettage, drilling and continuous decompression with a cannulated screw insertion is considered to be a good option for management of simple bone cysts of the calcaneus.
Kanazawa University, Kanazawa, Japan.
Mohamed E
ME
Abdel-Wanis
Hiroyuki
H
Tsuchiya
Kenji
K
Uehara
Katsuro
K
Tomita
D000293:Adolescent; D001845:Bone Cysts / Q000175:diagnosis / Q000601:surgery*; D001863:Bone Screws; D002111:Calcaneus / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D003131:Combined Modality Therapy; D003475:Curettage / Q000379:methods; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D012189:Retrospective Studies; D012494:Sampling Studies; D016896:Treatment Outcome