ANEURYSMAL BONE CYSTS TREATED BY CURETTAGE, CRYOTHERAPY AND BONE GRAFTINGH. W. B. Schreuder, Orthopaedic Surgeon1; R. P. H Veth, MD, PhD, Orthopaedic Surgeon, Professor of Orthopaedics1; M. Pruszczynski, MD, PhD, Pathologist1; J. A. M. Lemmens, MD, PhD, Radiologist1; H. Schraffordt Koops, MD, PhD, Professor of Surgery2; and W. M. Molenaar, MD, PhD, Professor of Pathology2
1 University Hospital St. Radboud, P O Box 9101, 6500 HB Nijmegen, The Netherlands. Correspondence should be sent to Dr H. W. B. Schreuder. We treated 26 patients with 27 aneurysmal bone cysts by curettage and cryotherapy and evaluated local tumour control, complications and functional outcome. The mean follow-up time was 47 months (19 to154). There was local recurrence in one patient. Two patients developed deep wound infections and one had a postoperative fracture. We compared our results with previous reports in which several different methods of treatment had been used and concluded that curettage with adjuvant cryotherapy had similar results to those of marginal resection, and that no major bony reconstruction was required. We recommend the use of cryotherapy as an adjuvant to the surgical treatment of aneurysmal bone cysts. It provides local tumour control. Combination with bone grafting achieved consolidation of the lesion in all our patients. This article has been cited by other articles:
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