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Resection arthrodesis for giant cell tumors around the knee

BACKGROUND: Giant cell tumors (GCTs) of bone are aggressive benign tumors. Wide resection is reserved for a small subset of patients with biologically more aggressive, recurrent and extensive tumors. As the patients affected with GCT are young or middle-aged adults with a normal life expectancy, art...

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Autores principales: Kapoor, Sudhir K, Tiwari, Akshay
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989135/
https://www.ncbi.nlm.nih.gov/pubmed/21139764
http://dx.doi.org/10.4103/0019-5413.32043
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author Kapoor, Sudhir K
Tiwari, Akshay
author_facet Kapoor, Sudhir K
Tiwari, Akshay
author_sort Kapoor, Sudhir K
collection PubMed
description BACKGROUND: Giant cell tumors (GCTs) of bone are aggressive benign tumors. Wide resection is reserved for a small subset of patients with biologically more aggressive, recurrent and extensive tumors. As the patients affected with GCT are young or middle-aged adults with a normal life expectancy, arthrodesis is an attractive option for reconstruction in these patients. MATERIALS AND METHODS: Thirty-six patients of mean age 33.1 years with Campanacci Grade III giant cell tumors around the knee (20 distal femoral and 16 proximal tibial) were treated with wide resection and arthrodesis from January 1996 through January 2006. Arthrodesis was performed using plating with free fibular graft (n = 18), IM nail with free fibular graft (n = 8) and IM nail combined with ring fixator using bone transport (n = 10). RESULTS: Fusion after the first surgery was achieved in 77.7%, 75% and 90% of the patients in the three groups respectively. Local recurrence was seen in two patients and repeat surgery for nonunion/ graft fracture had to be done in four patients and two patients in the plating and nailing groups respectively. CONCLUSION: Wide resection and arthrodesis in aggressive GCTs around the knee is a good treatment option. IM nail combined with a ring fixator seems to be a good method of arthrodesis with high fusion rates, least shortening and early rehabilitation.
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spelling pubmed-29891352010-12-07 Resection arthrodesis for giant cell tumors around the knee Kapoor, Sudhir K Tiwari, Akshay Indian J Orthop Symposium - Giant Cell Tumor BACKGROUND: Giant cell tumors (GCTs) of bone are aggressive benign tumors. Wide resection is reserved for a small subset of patients with biologically more aggressive, recurrent and extensive tumors. As the patients affected with GCT are young or middle-aged adults with a normal life expectancy, arthrodesis is an attractive option for reconstruction in these patients. MATERIALS AND METHODS: Thirty-six patients of mean age 33.1 years with Campanacci Grade III giant cell tumors around the knee (20 distal femoral and 16 proximal tibial) were treated with wide resection and arthrodesis from January 1996 through January 2006. Arthrodesis was performed using plating with free fibular graft (n = 18), IM nail with free fibular graft (n = 8) and IM nail combined with ring fixator using bone transport (n = 10). RESULTS: Fusion after the first surgery was achieved in 77.7%, 75% and 90% of the patients in the three groups respectively. Local recurrence was seen in two patients and repeat surgery for nonunion/ graft fracture had to be done in four patients and two patients in the plating and nailing groups respectively. CONCLUSION: Wide resection and arthrodesis in aggressive GCTs around the knee is a good treatment option. IM nail combined with a ring fixator seems to be a good method of arthrodesis with high fusion rates, least shortening and early rehabilitation. Medknow Publications 2007 /pmc/articles/PMC2989135/ /pubmed/21139764 http://dx.doi.org/10.4103/0019-5413.32043 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Symposium - Giant Cell Tumor
Kapoor, Sudhir K
Tiwari, Akshay
Resection arthrodesis for giant cell tumors around the knee
title Resection arthrodesis for giant cell tumors around the knee
title_full Resection arthrodesis for giant cell tumors around the knee
title_fullStr Resection arthrodesis for giant cell tumors around the knee
title_full_unstemmed Resection arthrodesis for giant cell tumors around the knee
title_short Resection arthrodesis for giant cell tumors around the knee
title_sort resection arthrodesis for giant cell tumors around the knee
topic Symposium - Giant Cell Tumor
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989135/
https://www.ncbi.nlm.nih.gov/pubmed/21139764
http://dx.doi.org/10.4103/0019-5413.32043
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