1. Extended curettage versus en bloc resection for the treatment of grade 3 giant cell tumour of the knee with pathologic fracture: a retrospective study
- Author
-
Amir Mohammad Arefpour, Abolfazl Bagherifard, Khodamorad Jamshidi, Milad Haji Agha Bozorgi, Farshad Zandrahimi, Alireza Mirzaei, and Hamadalla Hadi Al-Baseesee
- Subjects
medicine.medical_specialty ,Pathologic fracture ,medicine.medical_treatment ,Musculoskeletal tumor ,Bone Neoplasms ,Curettage ,Resection ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,Retrospective Studies ,Giant Cell Tumor of Bone ,030203 arthritis & rheumatology ,030222 orthopedics ,business.industry ,En bloc resection ,Retrospective cohort study ,medicine.disease ,Surgery ,Fractures, Spontaneous ,Treatment Outcome ,Giant cell ,Orthopedic surgery ,Neoplasm Recurrence, Local ,business - Abstract
For the treatment of giant cell tumour of the bone (GCTB) around the knee, preserving the native joint confers advantages over scarifying it. But, there is a controversy about the efficacy of intralesional curettage versus en bloc resection for treatment of such lesions. In this study, we compared local recurrence, functional outcomes, and complications of extended curettage and en bloc resection in these lesions. Patients with grade 3 GCTB of the distal femur or proximal tibia who were presented with a pathologic fracture and treated with either en bloc resection (n = 22) or extended curettage (n = 20) were included. The mean follow-up of the patients was 6.4 ± 1.9 years in the resection group and 5.5 ± 2.4 years in the extended curettage group. The primary outcome was a local recurrence. Secondary outcomes were limb function evaluated by the Musculoskeletal Tumor Society (MSTS) score and rate of complications. Local recurrence was seen in four (20%) patients of the curettage group and three (13.7%) patients of the resection group (P = 0.69). The mean MSTS score was 24 ± 1.9 in the resection group and 26.5 ± 1.3 in the curettage group (P
- Published
- 2020
- Full Text
- View/download PDF