|
KMID : 0613320030090010124
|
|
Journal of the Korean Bone and Joint Tumor Soceity
2003 Volume.9 No. 1 p.124 ~ p.129
|
|
|
Treatment of stage 3 giant cell tumor around the knee
|
|
Park Won-Jong
Rhee Seung-Koo
Kang Yong-Koo
Kewon Oh-Su
Chung Yang-Guk
|
|
|
Abstract
|
|
|
Purpose : To analyze the clinical outcome and radiological features after surgical treatment of stage Ⅲ giant cell tumor around the knee.
Materials and Methods : 21 patients with stage Ⅲ giant cell tumor around the knee joint, who were operated at out institutes between March 1991 and February 2000, were selected for this study. The average follow-up was 5.7 years(range, 1-9 years). After thorough curettage using high speed burr, cryosurgery and cementing with polymethymethacrylate(PMMA) were performed in 11 patients, 7 patients were treated with PMMA cementing(4 patients) or bone grafting (3 patients) after curettage without cryosurgery. Reconstruction with prosthesis composite allograft and knee fusion with Huckstep nail were performed in 3 patients with huge defect and joint perforation.
Results : Local recurrence developed in 1 out of 11 patients who was treated with curettage and cementing with cryosurgery(9.1%) and 3 out of 7 patients who underwent curettage and cementing without cyrosurgery(28.6%). Joint space narrowing more than 3mm was noted in 1 patient(9.1%), who treated with cryosurgery and anther patient(14.5%) who treated without cryosurgery. There was no local recurrence in case of wide resection and reconstruction.
Conclusion : Through curettage and PMMA cementing with cryosurgery as a adjuvant is thought to be effective modalities in the treatment of stage 3 giant cell tumors around the knee. Wide resection and reconstruction can be reserved mainly for the cases of stage 3 giant cell tumor with significant cortical destruction and marked joint destruction, and the cases of local recurrence with poor bone stock.
|
|
|
KEYWORD
|
|
|
Knee, Giant cell tumor, Curettage, Cryosurgery, Cementing
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|