Treatment and Outcomes of 4,973 Unicameral Bone Cysts: A Systematic Review and Meta-Analysis.

IF 1.7 Q2 SURGERY JBJS Reviews Pub Date : 2024-01-05 eCollection Date: 2024-01-01 DOI:10.2106/JBJS.RVW.23.00159
Kim Ruiz-Arellanos, Felipe Larios, Maria L Inchaustegui, Marcos R Gonzalez, Juan Pretell-Mazzini
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Abstract

» Unicameral bone cysts (UBCs) can increase the risk of pathologic fractures of both long and short bones. Although multiple treatments exist, data are conflicting regarding optimal management.

» We sought to analyze treatment strategies for UBCs and their rates of successful treatment.

» Success rates were analyzed according to treatment modality, with emphasis on filling techniques and/or decompression associated with curettage, and injection compounds.

» Curettage with bone substitute and cyst decompression was identified as a highly successful technique for UBC treatment.

» Decompressing the cyst wall after injection, regardless of the specific compound used, had a greater potential to enhance healing rates.

» The management decision should be individually guided within the patient's context.

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4,973 例单椎体骨囊肿的治疗和结果:系统回顾与元分析》。
"单腔骨囊肿(UBC)会增加长骨和短骨病理性骨折的风险。虽然存在多种治疗方法,但关于最佳治疗方法的数据却相互矛盾"。我们试图分析 UBCs 的治疗策略及其成功治疗率"。成功率根据治疗方式进行分析,重点是与刮除术和注射化合物相关的填充技术和/或减压术"。使用骨替代物进行刮宫和囊肿减压被认为是一种非常成功的 UBC 治疗技术"。注射后对囊壁进行减压,无论使用的是哪种化合物,都更有可能提高愈合率"。治疗决定应根据患者的具体情况因人而异。
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来源期刊
JBJS Reviews
JBJS Reviews SURGERY-
CiteScore
4.40
自引率
4.30%
发文量
132
期刊介绍: JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.
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