Year: 2025 | Month: March | Volume: 12 | Issue: 3 | Pages: 239-250
DOI: https://doi.org/10.52403/ijrr.20250331
Open versus Minimal Invasive Curettage in Simple Bone Cyst: A Systematic Review
Mikhail Kushadiwijaya1, Putu Astawa2, I Gede Eka Wiratnaya2, Komang Septian Sandiwidayat2
1Resident, Dept. Orthopaedic & Traumatology, Prof IGNG Ngoerah General Hospital, Udayana University, Bali, Indonesia
2Orthopaedic Surgeon, Dept. Orthopaedic & Traumatology, Prof IGNG Ngoerah General Hospital, Udayana University, Bali, Indonesia
Corresponding Author: Ignatius Angga Rusdianto
ABSTRACT
Introduction: Open curettage is the standard surgical procedure for simple bone cyst. However, this procedure has some disadvantages so that minimal invasive curettage becomes one of the treatment alternatives.
Method: A systematic search was conducted through PubMed, Google Scholar, and Cochrane Library. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria were used.
Result: A total of three studies were included. Total sample size ranged from 16-40 patients, aged ranged from 4-28 years, and 64 males and 18 females were examined.
Discussion: Open curettage was inferior to minimal invasive curettage in terms of mean hospital stay (4,7 vs 2,2 days, p < 0,01), time to full weight bearing (17,0 vs 4,0 days, p < 0,01), time to return to sport activities (14,5 vs 6,5 weeks, p < 0,01), time to solid union (6,6 - 12,2 vs 3,7 months, p < 0,05), AOFAS scale (96,1 vs 97,5, p > 0,05), time to complete radiological healing (12,8 vs 14,6 weeks, p > 0,05), Chang’s radiological evaluation (14/19 vs 11/12 healed, p > 0,05), and number of complications (1 sural neuritis, 1 CPC leakage vs 0 complication, p > 0,05). However, mean operating time was found to be inconsistent between studies and mean number of procedures and recurrence were relatively same in both groups.
Conclusion: This study report that minimal invasive curettage is superior to open curettage. Further study with higher amount of included studies and sample size is needed.
Keywords: open curettage, minimal invasive curettage, simple bone cyst
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