treatment of unicameral bone cyst by hsien-yang hou, karl wu, chen-ti wang, shun-min chang, wei-hsin...
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Treatment of Unicameral Bone Cyst
by Hsien-Yang Hou, Karl Wu, Chen-Ti Wang, Shun-Min Chang, Wei-Hsin Lin, and Rong-Sen Yang
JBJS Essent Surg TechVolume os-93(Supplement 1):92-99
March 16, 2011
©2011 by The Journal of Bone and Joint Surgery, Inc.
A: The midpoint of the cyst is localized by preoperative images and/or fluoroscopy.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
A small fenestration is created in the cortex with a small trephine or a drill-bit inserted through the thinnest part of the cyst wall at the level of the midpoint of the cyst.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Ninety-five percent ethanol solution is injected to fill the cyst to eradicate any remaining active cyst membrane lining cells.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
The curved impactor is first used to measure the cyst size and to break the cyst wall.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
This allows fresh bone-marrow cells from the healthy medullary canal to enter the cyst cavity.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
One half-thread cannulated screw is inserted through the small fenestration to provide continuous decompression.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.
A: A twelve-year-old boy with an active unicameral bone cyst in the proximal part of the left humerus.
Hsien-Yang Hou et al. J Bone Joint Surg Am 2011;os-93:92-99
©2011 by The Journal of Bone and Joint Surgery, Inc.