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KMID : 0613319960020010065
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Journal of the Korean Bone and Joint Tumor Soceity
1996 Volume.2 No. 1 p.65 ~ p.71
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The Treatment´s Modality of Simple Bone cyst According to the Location
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Lee Seok-Hyun
Suh Seung-Woo
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Abstract
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Twenty-nine cases of unicameral bone cyst developed in long bone of children have been treated and followed up for 4.5 years in average form Department of Orthopaedic surgery, Guro Hospital, Korea University,College of Medicine since September,1983, Treatment for those lesions differred to form largely two groups,one of which consised of insillation of Methyl-prednisolone for non-weight bearing bones[12 humeri]and the other of curettage and autogenous bone graft for weight-bearing bone[7 femur]. Methl-prednisolone group required repetition of instillation for 3.5 time in average spanning over 4 years until cloudy obliteration occurs. Curettage and bone graft had healed in 3 year 6 months` time in average. There were neither recurrence nor pathologic fractures of the lesions with the latter group. Immobilization period was virtually non with Methyl-prednisolone group and 4~6 weeks by hip spica with curettage and bone graft group. As conclusions,It seems confirmed that treatment strategy of unicameral bone cyst consisted of Methyl-prednisolone instillation for humerus lesions and early curettage and bone graft for femur lesions is applicable as guideline having solid ground in clinical experiences.
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KEYWORD
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Unicameral boe cyst, Methyl-prednisolone, curettage, bone graft
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