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10.1186/s12891-025-09109-6

http://scihub22266oqcxt.onion/10.1186/s12891-025-09109-6
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suck abstract from ncbi


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pmid41131533
      BMC+Musculoskelet+Disord 2025 ; 26 (1 ): 993
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  • Long term surgical results of cases with aneurysmal bone cysts-a comprehensive clinical, functional and oncologic analysis #MMPMID41131533
  • Yigit O ; Akgun E ; Ozgur EG ; Sofulu O ; Igrek S ; Sirin E ; Erol B
  • BMC Musculoskelet Disord 2025[Oct]; 26 (1 ): 993 PMID41131533 show ga
  • BACKGROUND: This study aims to analyze long-term outcomes in patients with aneurysmal bone cysts (ABCs) and demonstrate effective disease control. In the literature, the absence of a long-term study systematically evaluating the outcomes of a population with such a significant number of patients from different age groups will shed light on our surgical preferences. METHODS: The study encompassed ABC diagnoses, primarily concerning long bones (46 women, 62 men; mean age 19.4 years; range 2-67) extracted from patient records spanning from 2007 to 2022 in our clinic. The average follow-up was 81 months. Extended intralesional curettage was performed using a mechanical burr, cauterization, grafting and internal fixation in 96 patients (88.9%), whereas resection was carried out in 12 patients (11.1%). RESULTS: Pathological fractures occurred in 35% of cases. Reconstruction was performed in five patients (4.6%; endoprosthetic in 4, biological reconstruction in 1) and seven patients (6.5%) required no reconstruction. The mean Musculoskeletal Tumor Society (MSTS) score was 95.5 (range 60-100). Complications and recurrence rates were 12% and 9.3%, respectively. Surgical choice and adjuvant agent significantly influenced long-term complications and recurrence (p?=?0.001). CONCLUSIONS: In the treatment management of aneurysmal bone cysts, extended intralesional curettage surgery coupled with the use of electrocautery and a high-speed burr has shown successful outcomes in long-term follow-up. A wider sample size with prospective randomized studies can be conducted regarding the treatment of ABCs.
  • |*Bone Cysts, Aneurysmal/surgery/diagnostic imaging [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Curettage/methods [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Fractures, Spontaneous/etiology/surgery [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Retrospective Studies [MESH]
  • |Time Factors [MESH]
  • |Treatment Outcome [MESH]


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