Solitary bone cyst on heel, surgical treatment

Abstract

Objectives. Solitary bone cyst on heels Represents a pseudotumoral pathology with asymptomatic onset. There are controversial opinions – to use conservative treatment in these patients, but some authors believe that during the consolidation of pathological fracture, the given could regress. Material and methods. 8 patients were included in our study: 6 females and 2 males; age 15-22 – 7 patients, 1 patient – 35 y.o. All the patients were treated surgically – marginal and parietal intracavitary resection followed by substitution of remaining defect with cortical allograft cortical. Results. In the postoperative and distant period in 7 cases the recovery process was completed with good results. At 35 years old patient during postoperative evolution was developed purulent process – removing of allograft, antiseptic treatment. Later, in ЦИТО was performed the endoprosthetic operation of calcaneus by the method S.T.Zaţepin, satisfactory result. Conclusions. Surgical interventions include various procedures: endoscopic curettage, cryodestruction or electrocautery of cyst walls, osteoplasty of outstanding defect, sealing the remaining cavity with carbon or bioceramic substances. Independently of the treatment methods used, often relapses occur. According to the experience of many authors, including our, we consider that currently the safest method of treatment is surgical intervention: removal of pathological outbreak through different types of resection, and osteoplasty of remaining defect.