Articles Vol. 66 No. CĐ12-NCKH 01/08/2025

30. SURGICAL TREATMENT OF SIMPLE BONE CYST OF PROXIMAL FEMUR IN CHILDREN AT HOSPITAL FOR TRAUMATOLOGY AND ORTHOPEDICS AT HO CHI MINH CITY

Le Van Tho1,2, Tran Tien Khanh1,2, Ngo Viet Nhuan1,2, Bui Hoang Lac1,2, Nguyen Van Hien1,2, Pham Thanh Nha1,2, Le Vu Quoc Hien1,2, Le Uy Phuong1,2, Nguyen Phu2,3
1 Hospital for Traumatology and Orthopaedics at Ho Chi Minh city
2 Bệnh viện Chấn thương Chỉnh hình thành phố Hồ Chí Minh
3 Hospital for Traumatology and Orthopaedics at Ho Chi Minh cit
Corresponding author: levanthobs@yahoo.com
DOI: 10.52163/yhc.v66iCD12.2955
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Abstract

 

Simple bone cyst is a pseudotumor lesion of the bone, common in children and often appears in the metaphysis of the proximal humerus and femur. Although benign, simple bone cyst in the femoral neck-trochanter area of children often cause complications of pathological fractures, affecting the child's motor function. In addition, because this is a load-bearing area, lesion in this area, whether broken or not pathologically broken, requires treatment intervention to prevent complications that cause disability for the patient. We performed a retrospective study describing clinical characteristics, treatment methods and treatment outcomes in pediatric patients under 16 years old, from 2016 to 2023.

Result: 16 patients, including 10 men and 6 women, average age 11.6 years, average follow-up time 52.1 months. There were 11 patients hospitalized for pathological fractures, 3 patients due to accidental discovery and 2 patients due to pain symptoms. Regarding treatment: (1) Group of 5 patients without pathological fractures, of which 4 had curettage + bone graft + hip-spica cast, 1 had only biopsy + hip-spica cast, all had good bone healing results; (2) Group of 11 patients with pathological fractures, of which 5 patients were in a hip-spica cast for 1-2 months, waiting for the broken bone to heal and then curettage + bone grafting for fair bone healing results; 4 patients of curettage + bone grafting + immediate fracture fixation resulted in 2 fair and 2 good bone healing results; 1 patient of continuous decompression and 1 patient of conservative hip-spica cast both resulted in good bone healing.

Conclusion: Although easy to heal, simple bone cyst in the femoral neck-trochanter area in children require appropriate treatment, especially in cases of pathological fractures, to achieve good bone healing results.

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