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Simple calcaneal bone cysts: a pilot study comparing open versus endoscopic curettage and grafting
1Tatvan Military Hospital, Department of Orthopaedics and Traumatology, Lise Caddesi, 13200, Tatvan, Bitlis, Turkey. drcengizyildirim@yahoo.com
The Journal of Bone and Joint Surgery. British Volume
|December 14, 2011
Summary
Endoscopic curettage and percutaneous bone grafting offer a safe and effective alternative to open surgery for calcaneal bone cysts. This minimally invasive approach shows comparable healing and success rates with reduced operating time and hospital stay.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Simple calcaneal bone cysts are a common orthopedic condition.
- Traditional treatment involves open curettage and bone grafting, which can be invasive.
Purpose of the Study:
- To compare the outcomes of open versus endoscopic curettage and bone grafting for simple calcaneal bone cysts.
- To evaluate surgical time, recovery, and success rates between the two techniques.
Main Methods:
- A pilot study involving 26 patients divided into two equal groups.
- Group 1: Open curettage and bone grafting.
- Group 2: Endoscopic curettage and percutaneous bone grafting.
Main Results:
- Endoscopic treatment (Group 2) showed significantly shorter operating times and hospital stays (p < 0.001).
- Both groups had similar healing times and radiological healing outcomes.
- Success rates were high in both groups (92.3% for open, 100% for endoscopic).
Conclusions:
- Endoscopic curettage with percutaneous grafting is a safe and effective treatment for calcaneal bone cysts.
- This minimally invasive technique offers advantages in reduced surgical time and length of stay compared to open surgery.
