Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 2, 222-226.
doi: 10.1302/0301-620X.89B2.18116  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow View responses
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cho, H. S.
Right arrow Articles by Lee, S. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cho, H. S.
Right arrow Articles by Lee, S. H.

Unicameral bone cysts

A COMPARISON OF INJECTION OF STEROID AND GRAFTING WITH AUTOLOGOUS BONE MARROW

H. S. Cho, MD, Orthopaedic Surgeon1; J. H. Oh, MD, PhD, Professor2; H.-S. Kim, MD, PhD, Professor3; H. G. Kang, MD, Orthopaedic Surgeon1; and S. H. Lee, MD, PhD, Professor3

1 Orthopaedic Oncology Clinic, National Cancer Center, 809, Madu 1-dong, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea.
2 Department of Orthopaedic Surgery, Seoul National University, Bundang Hospital, 300 Goomi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, Korea.
3 Department of Orthopaedic Surgery, Seoul National University Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea.

Correspondence should be sent to Professor J. H. Oh; e-mail: ohjh1{at}snu.ac.kr

Open surgery is rarely justified for the initial treatment of a unicameral bone cyst, but there is some debate concerning the relative effectiveness of closed methods. This study compared the results of steroid injection with those of autologous bone marrow grafting for the treatment of unicameral bone cysts. Between 1990 and 2001, 30 patients were treated by steroid injection and 28 by grafting with autologous bone marrow. The overall success rates were 86.7% and 92.0%, respectively (p > 0.05). The success rate after the initial procedure was 23.3% in the steroid group and 52.0% in those receiving autologous bone marrow (p < 0.05), and the respective cumulative success rates after second injections were 63.3% and 80.0% (p > 0.05). The mean number of procedures required was 2.19 (1 to 5) and 1.57 (1 to 3) (p < 0.05), the mean interval to healing was 12.5 months (4 to 32) and 14.3 months (7 to 36) (p > 0.05), and the rate of recurrence after the initial procedure was 41.7% and 13.3% in the steroid and in the autologous bone marrow groups, respectively (p < 0.05).

Although the overall rates of success of both methods were similar, the steroid group had higher recurrence after a single procedure and required more injections to achieve healing.




eLetters:

Read all eLetters

Pressure within "unicameral" bone cysts
Jon P Driver-Jowitt
J Bone Joint Surg Br Online, 20 Dec 2007 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General