Abstract

Pathologic fracture through all but small and resolving unicameral cysts should be treated by surgery because healing seldom occurs spontaneously. The following are recommended: (1) immobilization of fracture until stability in acceptable alignment is achieved; (2) when the epiphysis has grown a safe distance away from the cyst and after confirmatory open biopsy, a subperiosteal full cortical thickness excision is performed, encompassing up to three fourths of tubular circumference, and the medullary surface of the remaining cortical bone is excoriated; and (3) defect is packed with autogenous bone.

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