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Archives of Orthopaedic and Trauma Surgery

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01-09-2004 | Original Article

Treatment of femoral neck and trochanteric simple bone cysts

Authors: Andreas Roposch, M.D., Vinay Saraph, Wolfgang E. Linhart

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2004

Abstract

Introduction

Problems associated with common treatment modalities of bone cysts located in the proximal femur include a high blood loss, infection, lack of stability, donor-site morbidity, restriction to normal activity, and high recurrence rate.

Materials and methods

Twelve patients with a simple bone cyst of the proximal femur were treated with retrograde flexible nailing. Six showed a pathological fracture. Mean age at surgery was 10.4 years, mean follow-up was 57 months. Radiographs were classified as healed, healed with residuals, recurred, or no response.

Results

The mean healing period was 38.8 months. Two cysts healed completely, nine healed with residuals. There was no recurrence or non-responder. In a fractured cyst a perforation of a nail through the cyst occurred 4 months after nailing.

Conclusion

The method is less invasive and offers early stability to the bone without the need for cast immobilization.

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Title: Treatment of femoral neck and trochanteric simple bone cysts
Authors: Andreas Roposch, M.D.
Vinay Saraph
Wolfgang E. Linhart
Publication date: 01-09-2004
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-004-0702-5

At a glance: The STEP trials

Springer Medicine

Treatment of femoral neck and trochanteric simple bone cysts

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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