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120424

Use of Liquid Nitrogen as A local Adjuvant to Decrease Recurrence after Extended Curettage, and Reconstruction by Autogenous Bone Graft for Treatment of Aneurysmal bone Cyst: Our

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Aneurysmal bone cyst [ABC] can be managed by curettage and different bone grafts. However, the recurrence rate is high, and different adjuvants had been proposed to reduce recurrence. The use of liquid nitrogen could be used as an adjuvant.
Aim of the work: To present our experience with liquid nitrogen use as an adjuvant in ABC's management.
Patients and Methods: Twenty-five patients with ABC had been evaluated. All were treated by extended curettage followed by liquid nitrogen for two cycles and reconstruction of the cavity by a bone graft. Radiological and functional outcomes had been documented, and any complications had been registered.
Results: Femur was the most common site for ABC. The graft was obtained from iliac crest for all patients, mainly corticocancellous [68.0%]. The ABC grade was grade 2 among [80.0%] and grade 3 among [20.0%]. Graft union achieved in all patients in an average of 6.52±2.27 months. The mean follow-up duration was [44.52±16.81 months; range 24- 72 months], and all patients were alive and completely free from the disease. The functional score ranged from 70% to 94%, [average of 85.12±7.32%]. Recurrence rate [8.0%] and wound infection had been recorded in another two patients [treated conservatively and completely resolved within days].
Conclusion: Extended curettage of ABC with adjuvant cryotherapy had good results with a lower recurrence rate. The additional use of a bone graft allowed for consolidation in all cases with a short time for cyst healing.

DOI

10.21608/ijma.2020.43006.1171

Keywords

Recurrence, Aneurysmal bone cyst, Extended Curettage, Cryosurgery, bone grafting

Authors

First Name

Mohamed Abdel Rahman

Last Name

Mostafa

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

tumorman2002@yahoo.com

City

Cairo

Orcid

-

First Name

Osman

Last Name

Mohamed

MiddleName

Abdellah

Affiliation

Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

docosman@domazhermedicine.edu.eg

City

Cairo

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-09-15

Publish Date

2021-01-01

Page Start

1,007

Page End

1,015

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1007-1015.pdf

PDF . 1.5MB

Link

https://ijma.journals.ekb.eg/article_120424.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=120424

Order

15

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Use of Liquid Nitrogen as A local Adjuvant to Decrease Recurrence after Extended Curettage, and Reconstruction by Autogenous Bone Graft for Treatment of Aneurysmal bone Cyst: Our Updated Experience

Details

Type

Article

Created At

22 Jan 2023