Treatment of Solitary Bone Cyst of the Lower Extremity Complicated by Pathological Fracture
Clinical Scenario
This protocol addresses symptomatic solitary bone cysts (SBCs) located in the lower extremity where a pathological fracture has occurred through the cystic lesion. In this setting, timely surgical intervention is recommended to restore weight-bearing function and prevent secondary skeletal deformity.
Treatment Approach
Management involves surgical intervention directed at the lesion and associated fracture. The approach combines cyst treatment with structural reconstruction of the affected bone segment — with the specific technique selected according to the individual presentation.
Full procedural options, technical details, and decision criteria are available in the complete protocol.
Treatment Goals
- Fracture consolidation
- Restored ability to mobilise and bear weight on the affected lower extremity
- Prevention of secondary axis deviations
References
DOI: 10.1016/j.jbo.2021.100384
- In symptomatic SBCs affecting the lower extremity surgical treatment is recommended in most cases with pathological fracture to regain the ability to mobilize timely and to prevent secondary axis deviations.
- Irrespective of the affected limb Rapp et al. recommended elastic intramedullary nailing in combination with artificial bone substitute and autologous platelet rich plasma to treat pathological fractures due to SBCs.
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