DOI: https://doi.org/10.22263/2312-4156.2021.1.55
Hotim O.A.1, Anosov V.S.1, Sychevskii L.Z.2
Comparative analysis of the results of surgical treatment for bone cysts in children
1Grodno State Medical University, Grodno, Republic of Belarus
2Grodno Regional Pediatric Clinical Hospital, Grodno, Republic of Belarus
Vestnik VGMU. 2021;20(1):55-61.
Abstract.
There are a number of methods for bone cysts treatment: both minimally invasive (puncture, injections) and traumatic ones with resection of the pathological area. Every method, however, has its own disadvantages and certain percentage of insufficient results. Due to this fact in Grodno Regional Pediatric Clinical Hospital and at the Chair of Traumatology, Orthopedics & Military Surgery of Grodno State Medical University we have developed a new minimally invasive combined plastic method for treating bone cysts in children.
Objectives. To make a comparative analysis of the operative treatment results of patients with bone cysts.
Material and methods. We examined the data from medical histories of 34 patients with bone cysts who were operated in Grodno Regional Pediatric Clinical Hospital in the period from 2015 to 2020. We estimated remote results of operative treatment in 24 out of 34 patients who came for medical examination.
Results. We made a comparative analysis of the operative treatment results of patients with bone cysts on the basis of which we can conclude that combined plastic method for treating bone cysts in children is the most effective one among other minimally invasive, minimally traumatic methods for treatment of such pathology in children. Positive results were obtained in 89% of patients who were operated using it. This positive effect is achieved by destruction of the inner shell with the use of laser radiation as well as cavity filling with crushed allogenic bone mixed with autogenous bone marrow. Allogenic bone is osteoconductor and its crushing leads to acceleration of regenerative process in bone tissue and prevents complications which are specific for whole bone grafts. Autogenous bone marrow is osteoinductor.
Key words: bone cyst, method of treatment, combined plasty.
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Information about authors:
Hotim O.A. – lecturer of the Chair of Traumatology, Orthopedics & Military Surgery, Grodno State Medical University;
Anosov V.S. – Candidate of Medical Sciences, associate professor, pro-rector for academic affairs, Grodno State Medical University;
Sychevskii L.Z. – Candidate of Medical Sciences, head of the traumatologic and orthopedic department, Grodno Regional Pediatric Clinical Hospital.
Correspondence address: Republic of Belarus, 230009, Grodno, 80 Gorky str., Grodno State Medical University, Chair of Traumatology, Orthopedics & Military Surgery. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Olga A. Hotim.
