Comparison of two remedy for treatment of simple bone cyst in adult

VernacularTitle:成年人单纯性骨囊肿两种治疗方法疗效对比
Author: Gang HAN ; Wenzhi BI ; Yan WANG ; Jinpeng JIA ; Wei WANG
Publication Type:Journal Article
Keywords: Bone cyst; Prednisolone; Allograft
From: Chinese Journal of Postgraduates of Medicine 2010;33(36):12-14
CountryChina
Language:Chinese
Abstract: Objective To approach the effective treatment for simple bone cyst in adult. Methods Forty-eight cases were divided into two groups by visiting order, 20 cases (steroid group) were treated by prednisolone acetate and 28 cases (open resection and allograft group) were treated by open resection and allograft. The curative effect were contrasted between two groups. Results The follow-up time was 5-46(26.58 ± 10.81) months. Aecording to the Chigira's healing criteria for simple bone cyst, grade Ⅰ , Ⅱ , Ⅲ,V were 1, 2, 10 and 7 cases respectively in steroid group, contrasting to 0, 3, 5 and 20 cases respectively in open resection and allograft group. The recovery rate was 85.0%(17/20) in steroid group and 89.3%(25/28) in open resection and allograft group, which was no statistically significant difference between two groups (P＞0.05). Conclusions Although the two remedies are no obvious difference in curative effect,simple bone cyst at lower extremity of weight-bearing with obvious osteolysis in adult is recommended to open resection and allograft, otherwise or at upper extremity to steroid injection.