A Case of Distal Femur Giant Cell Tumour Treated with Excision Curettage and Sandwich Technique
Creators
- 1. Prof & HOD, Department of Orthopaedics, Dr. Vaishampayan Govt. Medical College, Solapur
- 2. Assistant Prof, Department of Pathology, Dr. VMGMC, Solapur
- 3. Senior Resident, Department of Orthopaedics, Dr. VMGMC, Solapur
Description
Giant cell tumors (GCTs) are primary bone tumors that occur most commonly in long bones, with half such tumors occurring in the distal femur, proximal tibia, and fibula. Around 12% of patients present with a pathological fracture indicating more aggressive disease. Arthrodesis after tumor resection is a popular choice due to its affordability and early postoperative mobilization, as well as low risks of implant loosening, infections, malignant lesions, or mortality. In developing countries, the cost of the mega prosthesis, around lakhs means many patients cannot afford the treatment. We describe a case of a GCT of the distal femur treated by excision of the tumor with sandwich technique and reconstruction using iliac crest bone graft. The result was satisfactory, knee movements were initiated at 4th week and partial weight-bearing was allowed two months after the surgery. At the one-year follow-up, there was no recurrence, and the patient had the full weight-bearing ability with complete range of movements.
Abstract (English)
Giant cell tumors (GCTs) are primary bone tumors that occur most commonly in long bones, with half such tumors occurring in the distal femur, proximal tibia, and fibula. Around 12% of patients present with a pathological fracture indicating more aggressive disease. Arthrodesis after tumor resection is a popular choice due to its affordability and early postoperative mobilization, as well as low risks of implant loosening, infections, malignant lesions, or mortality. In developing countries, the cost of the mega prosthesis, around lakhs means many patients cannot afford the treatment. We describe a case of a GCT of the distal femur treated by excision of the tumor with sandwich technique and reconstruction using iliac crest bone graft. The result was satisfactory, knee movements were initiated at 4th week and partial weight-bearing was allowed two months after the surgery. At the one-year follow-up, there was no recurrence, and the patient had the full weight-bearing ability with complete range of movements.
Files
IJPCR,Vol15,Issue1,Article38.pdf
Files
(12.0 MB)
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Additional details
Dates
- Accepted
-
2023-01-15
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue1,Article38.pdf
- Development Status
- Active
References
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