{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T19:26:37Z","timestamp":1783970797222,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Effectiveness and morbidity of curettage grafting and intramedullary decompression in the treatment of pathological fractures due to simple bone cysts (SBCs) were evaluated.\nMethods: Between 2005 and 2012, 34 children with SBCs were treated with extended curettage grafting and intramedullary decompression. Average age of the patients (23 male, 11 female) at surgery was 11.7 years (range: 6\u201321 years). The lesions were localized in the humerus (19), femur (12), tibia (2), and ulna (1). Pathological micro- or displaced fractures occurred in 31 patients. Surgical procedure included extended curettage by using cauterization and high-speed burring, bone grafting, and intramedullary decompression with elastic nails. Six patients had been treated conservatively or surgically in other institutions previously. Radiographic and functional results were evaluated by Capanna criteria and MSTS scores respectively. Early and late complications and additional surgical procedures were recorded.\nResults: The average follow-up was 37 months (range: 18\u201389 months). The average time to heal for pathological fractures was 8 weeks (range: 6\u201312 weeks). Radiographic evaluation revealed Grade 1 healing in 28 patients (82%) and Grade 2 healing in 6 patients (18%). The average MSTS score based on final follow-up was 28.5 (range: 17\u201330); excellent (32 patients; 94%) and good (2 patients; 6%) functional results were obtained. There was no early or late infection, refracture or implant failure. Malunion developed following treatment of 2 humeral and 2 femoral lesions. With the exception of 2 implant removals, no patients required additional surgical intervention.\nConclusion: Complete cyst healing and satisfactory functional results can be obtained by curettage grafting and intramedullary decompression. This technique restores bone integrity by allowing early motion and prevents refracture and subsequent deformity in the majority of patients.\n\n\u00d6zet\n\nAma\u00e7: Basit kemik kistine ba\u011fl\u0131 patolojik k\u0131r\u0131klar\u0131n tedavisinde ku\u00a8retaj-grefonaj ve intramedu\u00a8ller dekompresyonun etkinli\u011fi ve morbiditesi de\u011ferlendirildi.\n\n\u00c7al\u0131\u015fma plan\u0131: 2005\u20132012 y\u0131llar\u0131 aras\u0131nda basit kemik kisti tan\u0131s\u0131yla geni\u015fletilmi\u015f ku\u00a8retaj-grefonaj ve intramedu\u00a8ller dekompresyon uygulanan 34 \u00e7ocuk retrospektif de\u011ferlendirildi. Hastalar\u0131n (23 erkek\/11 kad\u0131n) cerrahi s\u0131ras\u0131ndaki ortalama ya\u015flar\u0131 11.7 y\u0131ld\u0131 (aral\u0131k, 6\u201321). Humerus (19), femur (12), tibia (2) ve ulna (1) yerle\u015fimli lezyonlara, 31 hastada patolojik k\u0131r\u0131k e\u015flik etti. Cerrahi i\u015flem, koterizasyon ve burrlama ile geni\u015fletilmi\u015f ku\u00a8retaj, grefonaj ve elastik \u00e7ivilerle intramedu\u00a8ller dekompresyonu i\u00e7erdi. Alt\u0131 hastaya \u00f6nceden konservatif veya cerrahi tedavi uygulanm\u0131\u015ft\u0131. Radyolojik ve fonksiyonel sonu\u00e7lar s\u0131ras\u0131yla Capanna kriterleri ve MSTS skorlamas\u0131 ile de\u011ferlendirildi. Erken ve ge\u00e7 d\u00f6nem komplikasyonlar ve bunlara y\u00f6nelik ilave cerrahi giri\u015fim ihtiyac\u0131 ara\u015ft\u0131r\u0131ld\u0131.\n\nBulgular: Hastalar ortalama 37 ay (aral\u0131k, 18\u201389) takip edildi. Patolojik k\u0131r\u0131klar\u0131n tu\u00a8mu\u00a8 ortalama sekiz haftada (aral\u0131k, 6\u201312 hafta) sorunsuz kaynad\u0131. Yirmi sekiz (%82) hastada Grad 1, alt\u0131 (%18) hastada Grad 2 radyolojik iyile\u015fme sa\u011fland\u0131. Son takip ortalama MSTS skoru 28.5 (aral\u0131k, 17\u201330) hesapland\u0131; 32 (%94) hastada mu\u00a8kemmel, iki (%6) hastada iyi sonu\u00e7 elde edildi. Hi\u00e7bir hastada erken veya ge\u00e7 enfeksiyon, refraktu\u00a8r veya implant yetmezli\u011fi g\u00f6ru\u00a8lmedi. \u0130ki humerus ve iki femur olgusunda tedavi sonras\u0131 malunion geli\u015fti, sadece biri hafif klinik bulgu verdi. Uzun takipli iki \u00e7ocukta \u00e7ivilerin \u00e7\u0131kart\u0131lmas\u0131 d\u0131\u015f\u0131nda hi\u00e7bir hastada ilave cerrahi giri\u015fim yap\u0131lmad\u0131.\n\n\u00c7\u0131kar\u0131mlar: Ku\u00a8retaj-grefonaj ve elastik \u00e7ivilerle intramedu\u00a8ller dekompresyon genellikle tam kist iyile\u015fmesi ve iyi fonksiyonel sonu\u00e7larla seyreder. Patolojik k\u0131r\u0131k varl\u0131\u011f\u0131nda kemik bu\u00a8tu\u00a8nlu\u00a8\u011fu\u00a8nu\u00a8 sa\u011flayarak erken harekete izin veren bu y\u00f6ntem, uzun vadede re-fraktu\u00a8r ve deformite geli\u015fimini engeller.\n\n \n\nBu \u00f6zet, makalenin hen\u00fcz redaksiyonu tamamlanmam\u0131\u015f haline aittir ve bilgi verme ama\u00e7l\u0131d\u0131r. Yay\u0131n a\u015famas\u0131nda de\u011fi\u015fiklik g\u00f6sterebilir.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0108","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T11:56:01Z","timestamp":1426679761000},"page":"288-296","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of pathological fractures due to simple bone cysts by extended curettage grafting and intramedullary decompression"],"prefix":"10.5152","volume":"49","author":[{"given":"Bulent","family":"Erol","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolga","family":"Onay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emrah","family":"Caliskan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Nadir Aydemir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Mert Topkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2982\/2935","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:29Z","timestamp":1763464169000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2982"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2015,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0108","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}