Endoscopic Versus Open Surgery for Calcaneal Bone Cysts: A Preliminary Report

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures
• Foot and Ankle Surgery

Background:

• Calcaneal bone cysts are symptomatic bone lesions requiring surgical intervention.
• Traditional open procedures carry risks of complications and prolonged recovery.
• Evaluating minimally invasive alternatives is crucial for optimizing patient care.

Purpose of the Study:

• To compare the outcomes of endoscopic versus open surgery for symptomatic calcaneal bone cysts.
• To assess advantages and disadvantages of each surgical approach.
• To determine the impact on recovery time and adverse effects.

Main Methods:

• Retrospective review of 16 patients with calcaneal bone cysts.
• Eight patients underwent open surgery (O group) and eight underwent endoscopic surgery (E group).
• Both groups received curettage and calcium phosphate cement injection; endoscopic procedures used a 2-portal technique.

Main Results:

• Operative times were similar between the open and endoscopic groups.
• The endoscopic group experienced no adverse effects, unlike the open group which had nerve irritation and cement leakage.
• Patients in the endoscopic group returned to sports significantly faster (6.5 weeks vs. 14.5 weeks).

Conclusions:

• Endoscopic surgery is a safe and effective treatment for calcaneal bone cysts.
• The endoscopic approach facilitates early rehabilitation and a quicker return to sports.
• Minimally invasive techniques offer advantages over open procedures for this condition.