CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(02): 193-195
DOI: 10.4103/ijmpo.ijmpo_100_17
Original Article

Effect of Ethanol as an Adjuvant to Extended Curettage on Recurrence Rate of Unicameral Bone Cyst

Saeed Solooki
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
Hamideh Mahdaviazad
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
Amir Reza Vosoughi
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
Yaghoob Keikha
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
Babak Pourabbas
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
Seyed Ali Hashemi
Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Background: To assess the efficacy of ethanol as an adjuvant in the treatment of unicameral bone cyst (UBC). Materials and Methods: Surgically treated patients with UBC lesion were reviewed. Definite treatment of UBC lesions was conducted using a combined four-step alcohol-using approach, consisted of curettage, burring, ethanol 96%, and electrocauterization of the lesion, consecutively. Results: Twenty-one patients (mean age 14, range: 2–30, male 62%) were followed from 1 to 10 years. Among 18 cases, only one recurrence was seen in a 5-year-old boy with UBC of the left calcaneus. Conclusions: Using ethanol as an adjuvant may be a good choice for treatment of UBC lesions.



Publication History

Article published online:
23 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Mascard E, Gomez-Brouchet A, Lambot K. Bone cysts: Unicameral and aneurysmal bone cyst. Orthop Traumatol Surg Res 2015; 101: S199-27
  • 2 Levy DM, Gross CE, Garras DN. Treatment of unicameral bone cysts of the calcaneus: A Systematic review. J Foot Ankle Surg 2015; 54: 652-6
  • 3 Wilkins RM. Unicameral bone cysts. J Am Acad Orthop Surg 2000; 8: 217-24
  • 4 Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst with emphasis on the roentgen picture: The pathological appearance and pathogenesis. Arch Surg 1942; 44: 1004-25
  • 5 Kadhim M, Sethi S, Thacker MM. Unicameral bone cysts in the humerus: Treatment outcomes. J Pediatr Orthop 2016; 36: 392-9
  • 6 Pretell-Mazzin J, Murphy RF, Kushare I, Dormans JP. Unicameral bone cysts: General characteristics and management controversies. J Am Acad Orthop Surg 2014; 22: 295-303
  • 7 Sung AD, Anderson ME, Zurakowski D, Hornicek FJ, Gebhardt MC. Unicameral bone cyst: A retrospective study of three surgical treatments. Clin Orthop Relat Res 2008; 466: 2519-26
  • 8 Shindell R, Huurman WW, Lippiello L, Connolly JF. Prostaglandin levels in unicameral bone cysts treated by intralesional steroid injection. J Pediatr Orthop 1989; 9: 516-9
  • 9 Lee SY, Chung CY, Lee KM, Sung KH, Won SH, Choi IH. et al. Determining the best treatment for simple bone cyst: A decision analysis. Clin Orthop Surg 2014; 6: 62-71
  • 10 Solooki S, Keikha Y, Vosoughi AR. Can ethanol be used as an adjuvant to extended curettage in order to reduce the recurrence rate of aneurysmal bone cyst?. Rev Bras Ortop 2017; 52: 349-53
  • 11 Zhao JG, Ding N, Huang WJ, Wang J, Shang J, Zhang P. et al. Interventions for treating simple bone cysts in the long bones of children. Cochrane Database Syst Rev 2014; 9: CD010847
  • 12 Kadhim M, Thacker M, Kadhim A, Holmes LJr. Treatment of unicameral bone cyst: Systematic review and meta analysis. J Child Orthop 2014; 8: 171-91
  • 13 Di BellaC, Dozza B, Frisoni T, Cevolani L, Donati D. Injection of demineralized bone matrix with bone marrow concentrate improves healing in unicameral bone cyst. Clin Orthop Relat Res 2010; 468: 3047-55
  • 14 Pavone V, Caff G, Di SilvestriC, Avondo S, Sessa G. Steroid injections in the treatment of humeral unicameral bone cysts: Long-term follow-up and review of the literature. Eur J Orthop Surg Traumatol 2014; 24: 497-503
  • 15 Hagmann S, Eichhorn F, Moradi B, Gotterbarm T, Dreher T, Lehner B. et al. Mid- and long-term clinical results of surgical therapy in unicameral bone cysts. BMC Musculoskelet Disord 2011; 12: 281
  • 16 Hou HY, Wu K, Wang CT, Chang SM, Lin WH, Yang RS. et al. Treatment of unicameral bone cyst: Surgical technique. J Bone Joint Surg Am 2011; 93 Suppl 1: 92-9
  • 17 Hou HY, Wu K, Wang CT, Chang SM, Lin WH, Yang RS. et al. Treatment of unicameral bone cyst: A comparative study of selected techniques. J Bone Joint Surg Am 2010; 92: 855-62
  • 18 Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts?. Clin Orthop Relat Res 2010; 468: 1649-59
  • 19 Lin WH, Lin TY, Chang CY, Wu K, Yang RS. Similar local control between phenol- and ethanol-treated giant cell tumors of bone. Clin Orthop Relat Res 2011; 469: 3200-8
  • 20 el-Mowafi H, Refaat H, Kotb S. Percutaneous destruction and alcoholisation for the management of osteoid osteoma. Acta Orthop Belg 2003; 69: 447-51
  • 21 Gangi A, Kastler B, Klinkert A, Dietemann JL. Injection of alcohol into bone metastases under CT guidance. J Comput Assist Tomogr 1994; 18: 932-5
  • 22 Filippiadis DK, Tutton S, Kelekis A. Percutaneous bone lesion ablation. Radiol Med 2014; 119: 462-9