Research Article
Volume 12 Issue 5 - 2021
Surgical Treatment of Solitary Bone Cyst in Children Using Alloimplants
Vitaliy Bayev*, Petro Vorontsov, Valerija Gusak, Кateryna Samoilova and Oksana Slota
Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
*Corresponding Author: Vitaliy Bayev, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
Received: March 29, 2021; Published: April 29, 2021




Abstract

Introduction: One of the traditional methods of treating solitary bone cysts (SBC) is marginal resection and replacement of the defect with bone or ceramic implants. Materials based on allogeneic bone after various types of processing, combining optimal properties for osteoregeneration, may be promising.

Purpose: To evaluate the results of surgical treatment of children with SBC using bone alloimplants for the repair of post-resection defects.

Methods: The results of examination and treatment of 11 patients (8 boys, 3 girls, age from 5 to 16 years) were analyzed. The diagnosis was made on the basis of a combination of clinical manifestations of the disease, laboratory test data, X-ray and pathomorphological studies. Distribution by localization of the pathological focus: proximal femur - 6 (54.5%), humeral - 2 (18.2%), calcaneal - 2 (18.2%), pubic - 1 (9.1%). Indications for surgical treatment: the presence of a massive focus of bone tissue destruction in the loaded area, a high risk of a pathological fracture, pronounced long-term pain syndrome. All patients underwent marginal resection and chemical treatment of SBC, the defects were filled with osteoplastic material.

Results: According to X-ray data, bone tissue restructuring in the area of surgical intervention occurred after 6 - 12 months after operation. After 12 - 18 months the structure of the patients' bones corresponded to normal without or with remnants of plastic material. Infectious complications, relapses of the pathological process and repeated fractures were not observed, pain syndrome was absent, motor activity was restored.

Conclusion: The investigated osteoplastic material of allogeneic origin can be recommended for use in the surgical treatment of SBC in children for the plasty of post-resection defects in order to restore the bone structure.

Keywords: Solitary Bone Cyst; Children; Bone Implants; Bone Grafting; Surgical Treatment

References

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Citation: V. Bayev., et al. “Surgical Treatment of Solitary Bone Cyst in Children Using Alloimplants” EC Orthopaedics 12.5 (2021): 49-55.

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