Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children

Hua Zheng

doi:doi:10.11648/j.cmr.20231203.11

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Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children

Hua Zheng

Published in Clinical Medicine Research (Volume 12, Issue 3)

Received: 5 January 2023 Accepted: 29 January 2023 Published: 18 May 2023

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Abstract

Background: Unilateral bone cyst (UBC) is a common lesion in children. Currently, the commonly used treatment methods for UBC have the defects of large surgical trauma and high recurrence rate. Objective: To investigate the effect of elastic intramedullary nail in the treatment of long bone cyst in children with pathological fracture. Methods: 11 patients with pathological fracture long bone cyst were treated with elastic intramedullary nail. There are 7 men and 4 women. The age ranged from 6 to 12 years, with a mean age of 7.6 years. There were 3 cases of proximal humerus, 2 cases of middle humerus, 1 case of whole humerus, 2 cases of proximal femur, 1 case of middle femur, and 2 cases of middle tibia. Results: t test was performed on the remaining static penetration area of the cyst measured at two adjacent time points using SPSS25 statistical software. P < 0.05 was considered statistically significant. Results All the 11 patients were followed up for 4 to 24 months, with an average of 12 months. The cyst healed in 4 cases (36.3%), the defect healed in 4 cases (36.3%), the healing rate was 72.7%, and 3 cases were sustained (1 case was followed up for 4 months). Discussion: Minimally invasive elastic nail fixation is effective in the treatment of bone cyst. However, the limitations of this study are influenced by the duration of follow-up, which is still ongoing for some UBC children. Long-term elastic titanium intramedullary nail implantation in the treatment of long bone cyst has the characteristics of single intervention, small injury, good stability and prevention of pathological fracture.

Published in	Clinical Medicine Research (Volume 12, Issue 3)
DOI	10.11648/j.cmr.20231203.11
Page(s)	48-51
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Elastic Intramedullary Nail, Internal Drainage, Bone Cyst, Pathological Fracture

References

[1]	Yogi LK, Mate GB, Mahi G. Simple Bone Cyst (Benign Osteolytic Lesion) of 1st Metacarpal: A Rare Case Report. J Orthop Case Rep. 2022 Jan; 12 (1): 102-105.
[2]	Zhao Jun. Progress in the treatment of single-locular bone cyst [J]. Chin J Oncology, 2012, 15: 1196-1200.
[3]	Rosenblatt J, Koder A. Understanding Unicameral and Aneurysmal Bone Cysts. Pediatr Rev. 2019 Feb; 40 (2): 51-59.
[4]	Zhou Rong, Li Ming, Liu Xing, Weng Liuqi, Zheng Chao, Zhou Hai. X-ray changes and clinical significance of humeral cyst with different active degree after operation [J]. Journal of Chongqing Medical University, 2019, 09: 1176-1180.
[5]	Rajasekaran RB, Krishnamoorthy V, Gulia A. Unicameral Bone Cysts: Review of Etiopathogenesis and Current Concepts in Diagnosis and Management. Indian J Orthop. 2022 Feb 10; 56 (5): 741-751.
[6]	Zhou Rong, Li Ming. Surgical treatment of simple bone cyst [J]. Chinese Journal of Pediatric Surgery, 2019, 12: 1146-1147-1148-1149-1150.
[7]	Zhou Jianwu, Ning Shangkun, Liu Chuankang. Glucocorticoid injection combined with elastic needle fixation in treatment of simple bone cyst of proximal femur [J]. Journal of Clinical Pediatric Surgery, 2019, 01: 25-29.
[8]	Bukva B, Vrgoč G, Abramović D, Dučić S, Brkić I, Čengić T. TREATMENT OF UNICAMERAL BONE CYSTS IN CHILDREN: A COMPARATIVE STUDY. Acta Clin Croat. 2019 Sep; 58 (3): 403-409.
[9]	Liu Q, He H, Zeng H, Yuan Y, Wang Z, Tong X, Luo W. Active unicameral bone cysts: control firstly, cure secondly. J Orthop Surg Res. 2019 Aug 28; 14 (1): 275.
[10]	Bezirgan U, Karaca MO, Merter A, Ercan N, Basarir K, Ergün H, Yildiz HY. Steroid Injection and Biomarker Levels in the Treatment of Unicameral Bone Cysts: Can we Estimate the Result? Indian J Orthop. 2021 Jan 19; 55 (4): 886-891.
[11]	Zhang Xueke, Chou Xiaobing, Li Haoyu. Autogenous bone marrow injection combined with elastic intramedullary needle for treatment of long bone cyst in children [J]. China Bone Injury, 2019, 05: 475-478.
[12]	Nunziato C, Williams J, Williams R. Synthetic Bone Graft Substitute for Treatment of Unicameral Bone Cysts. J Pediatr Orthop. 2021 Jan; 41 (1): e60-e66.
[13]	Rajeswaran S, Khan A, Samet JD, Donaldson J, Attar S, Peabody T, Green J. Minimally Invasive Treatment for Unicameral Bone Cysts with Chemical Sclerosis and Bone Graft Substitute: A Preliminary Report. Cardiovasc Intervent Radiol. 2022 Feb; 45 (2): 190-196.
[14]	Sivakumar B, An VVG, Dobbe A, Drynan D, Little D. Injection of a Bone Substitute in the Treatment of Unicameral Bone Cysts. Adv Orthop. 2023 Jan 5; 2023: 3270372.
[15]	Karr JC. Calcium Sulfate/Calcium Phosphate Bone Void Filler in the Treatment of Bilateral Adolescent Unicameral Calcaneal Bone Cysts: 36-Month Follow-Up. J Am Podiatr Med Assoc. 2019 Sep; 109 (5): 379-388.
[16]	Shi Liwei, Zhang Lijun, Zhao Qun, Li Qiwei, Ji Shijun. Treatment of humeral cyst with elastic intramedullary nail support and drainage [J]. Chin J Bone & Joint, 2015, 10: 748-752.
[17]	Zhang KX, Chai W, Zhao JJ, Deng JH, Peng Z, Chen JY. Comparison of three treatment methods for simple bone cyst in children. BMC Musculoskelet Disord. 2021 Jan 12; 22 (1): 73.

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Hua Zheng. (2023). Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clinical Medicine Research, 12(3), 48-51. https://doi.org/10.11648/j.cmr.20231203.11

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ACS Style

Hua Zheng. Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clin. Med. Res. 2023, 12(3), 48-51. doi: 10.11648/j.cmr.20231203.11

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AMA Style

Hua Zheng. Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clin Med Res. 2023;12(3):48-51. doi: 10.11648/j.cmr.20231203.11

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@article{10.11648/j.cmr.20231203.11,
  author = {Hua Zheng},
  title = {Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children},
  journal = {Clinical Medicine Research},
  volume = {12},
  number = {3},
  pages = {48-51},
  doi = {10.11648/j.cmr.20231203.11},
  url = {https://doi.org/10.11648/j.cmr.20231203.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20231203.11},
  abstract = {Background: Unilateral bone cyst (UBC) is a common lesion in children. Currently, the commonly used treatment methods for UBC have the defects of large surgical trauma and high recurrence rate. Objective: To investigate the effect of elastic intramedullary nail in the treatment of long bone cyst in children with pathological fracture. Methods: 11 patients with pathological fracture long bone cyst were treated with elastic intramedullary nail. There are 7 men and 4 women. The age ranged from 6 to 12 years, with a mean age of 7.6 years. There were 3 cases of proximal humerus, 2 cases of middle humerus, 1 case of whole humerus, 2 cases of proximal femur, 1 case of middle femur, and 2 cases of middle tibia. Results: t test was performed on the remaining static penetration area of the cyst measured at two adjacent time points using SPSS25 statistical software. P < 0.05 was considered statistically significant. Results All the 11 patients were followed up for 4 to 24 months, with an average of 12 months. The cyst healed in 4 cases (36.3%), the defect healed in 4 cases (36.3%), the healing rate was 72.7%, and 3 cases were sustained (1 case was followed up for 4 months). Discussion: Minimally invasive elastic nail fixation is effective in the treatment of bone cyst. However, the limitations of this study are influenced by the duration of follow-up, which is still ongoing for some UBC children. Long-term elastic titanium intramedullary nail implantation in the treatment of long bone cyst has the characteristics of single intervention, small injury, good stability and prevention of pathological fracture.},
 year = {2023}
}

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TY - JOUR
T1 - Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children
AU - Hua Zheng
Y1 - 2023/05/18
PY - 2023
N1 - https://doi.org/10.11648/j.cmr.20231203.11
DO - 10.11648/j.cmr.20231203.11
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 48
EP - 51
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20231203.11
AB - Background: Unilateral bone cyst (UBC) is a common lesion in children. Currently, the commonly used treatment methods for UBC have the defects of large surgical trauma and high recurrence rate. Objective: To investigate the effect of elastic intramedullary nail in the treatment of long bone cyst in children with pathological fracture. Methods: 11 patients with pathological fracture long bone cyst were treated with elastic intramedullary nail. There are 7 men and 4 women. The age ranged from 6 to 12 years, with a mean age of 7.6 years. There were 3 cases of proximal humerus, 2 cases of middle humerus, 1 case of whole humerus, 2 cases of proximal femur, 1 case of middle femur, and 2 cases of middle tibia. Results: t test was performed on the remaining static penetration area of the cyst measured at two adjacent time points using SPSS25 statistical software. P < 0.05 was considered statistically significant. Results All the 11 patients were followed up for 4 to 24 months, with an average of 12 months. The cyst healed in 4 cases (36.3%), the defect healed in 4 cases (36.3%), the healing rate was 72.7%, and 3 cases were sustained (1 case was followed up for 4 months). Discussion: Minimally invasive elastic nail fixation is effective in the treatment of bone cyst. However, the limitations of this study are influenced by the duration of follow-up, which is still ongoing for some UBC children. Long-term elastic titanium intramedullary nail implantation in the treatment of long bone cyst has the characteristics of single intervention, small injury, good stability and prevention of pathological fracture.
VL - 12
IS - 3
ER -

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Author Information

Hua Zheng

Department of Orthopedics, Huzhou Central Hospital, Huzhou, China

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Plain Text BibTeX RIS

APA Style

Hua Zheng. (2023). Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clinical Medicine Research, 12(3), 48-51. https://doi.org/10.11648/j.cmr.20231203.11

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ACS Style

Hua Zheng. Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clin. Med. Res. 2023, 12(3), 48-51. doi: 10.11648/j.cmr.20231203.11

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AMA Style

Hua Zheng. Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children. Clin Med Res. 2023;12(3):48-51. doi: 10.11648/j.cmr.20231203.11

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@article{10.11648/j.cmr.20231203.11,
  author = {Hua Zheng},
  title = {Elastic Intramedullary Nail Drainage in the Treatment of Long Bone Cyst with Pathological Fracture in Children},
  journal = {Clinical Medicine Research},
  volume = {12},
  number = {3},
  pages = {48-51},
  doi = {10.11648/j.cmr.20231203.11},
  url = {https://doi.org/10.11648/j.cmr.20231203.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20231203.11},
  abstract = {Background: Unilateral bone cyst (UBC) is a common lesion in children. Currently, the commonly used treatment methods for UBC have the defects of large surgical trauma and high recurrence rate. Objective: To investigate the effect of elastic intramedullary nail in the treatment of long bone cyst in children with pathological fracture. Methods: 11 patients with pathological fracture long bone cyst were treated with elastic intramedullary nail. There are 7 men and 4 women. The age ranged from 6 to 12 years, with a mean age of 7.6 years. There were 3 cases of proximal humerus, 2 cases of middle humerus, 1 case of whole humerus, 2 cases of proximal femur, 1 case of middle femur, and 2 cases of middle tibia. Results: t test was performed on the remaining static penetration area of the cyst measured at two adjacent time points using SPSS25 statistical software. P < 0.05 was considered statistically significant. Results All the 11 patients were followed up for 4 to 24 months, with an average of 12 months. The cyst healed in 4 cases (36.3%), the defect healed in 4 cases (36.3%), the healing rate was 72.7%, and 3 cases were sustained (1 case was followed up for 4 months). Discussion: Minimally invasive elastic nail fixation is effective in the treatment of bone cyst. However, the limitations of this study are influenced by the duration of follow-up, which is still ongoing for some UBC children. Long-term elastic titanium intramedullary nail implantation in the treatment of long bone cyst has the characteristics of single intervention, small injury, good stability and prevention of pathological fracture.},
 year = {2023}
}

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