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Meta-Analysis
. 2024 Jan 5;12(1).
doi: 10.2106/JBJS.RVW.23.00159. eCollection 2024 Jan 1.

Treatment and Outcomes of 4,973 Unicameral Bone Cysts: A Systematic Review and Meta-Analysis

Kim Ruiz-Arellanos  1 , Felipe Larios  1 , Maria L Inchaustegui  1 , Marcos R Gonzalez  2 , Juan Pretell-Mazzini  3
Affiliations
Meta-Analysis

Treatment and Outcomes of 4,973 Unicameral Bone Cysts: A Systematic Review and Meta-Analysis

Kim Ruiz-Arellanos et al. JBJS Rev. .

Abstract

» Unicameral bone cysts (UBCs) can increase the risk of pathologic fractures of both long and short bones. Although multiple treatments exist, data are conflicting regarding optimal management.

» We sought to analyze treatment strategies for UBCs and their rates of successful treatment.

» Success rates were analyzed according to treatment modality, with emphasis on filling techniques and/or decompression associated with curettage, and injection compounds.

» Curettage with bone substitute and cyst decompression was identified as a highly successful technique for UBC treatment.

» Decompressing the cyst wall after injection, regardless of the specific compound used, had a greater potential to enhance healing rates.

» The management decision should be individually guided within the patient's context.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B56).

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