2016, Number 5
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Acta Ortop Mex 2016; 30 (5)
Joint replacement and giant-cell tumor. Report of 8 cases
Martínez-Estrada JG, Santamaría-Bahena O
Language: Spanish
References: 17
Page: 241-245
PDF size: 330.53 Kb.
ABSTRACT
Introduction: The giant-cell tumor is an aggressive neoplasia, represents approximately from the 5 the 8.6% of primary bone tumors; more of 50% affects the pelvic extremity, being able to affect the totality of the bones.
Objective: To present the case series of tumors around the knee and hip that we offered a tumoral joint replacement as an alternative to amputation.
Material and methods: We present eight cases of extensive giant cells tumors, we did en bloc resection and tumoral joint replacement.
Results: The clinical and radiological evolution was satisfactory, without postoperative complications and the most important, avoided an amputation with a better quality of life.
Discussion: Alternative reconstructive treatment option with a recovery to its normal life in a 80% and a low index of complications.
REFERENCES
Turcotte RE, Sim FH, Unni KK: Giant cell tumor of the sacrum. Clin Orthop Relat Res. 1993; (291): 215-21.
Chen ZX, Gu DZ, Yu ZH, Qian TN, Huang YR, Hu YH, et al: Radiation therapy of giant cell tumor of bone: analysis of 35 patients. Int J Radiat Oncol Biol Phys. 1986; 12(3): 329-34.
Ghert MA, Rizzo M, Harrelson JM, Scully SP: Giant-cell tumor of the appendicular skeleton. Clin Orthop Relat Res. 2002; (400): 201-10.
Lyall H, El-Zebdeh M, Ireland J: Primary total knee arthroplasty performed 20 years after treatment for giant cell tumor. J Knee Surg. 2009; 22(3): 278-80.
Lackman RD, Hosalkar HS, Ogilvie CM, Torbert JT, Fox EJ: Intralesional curettage for grades II and III giant cell tumors of bone. Clin Orthop Relat Res. 2005; 438: 123-7.
Llanos CJ, García BC, Oyanedel QR, Villanueva AE, Otero OJ, Fortune HJ, et al: Estudio radiológico simple en el diagnóstico del tumor de células gigantes en población pediátrica: correlación anatomorradiológica. Rev Chil Radiol. 2008; 14(2): 62-7.
Weber KL: Surgical treatment of benign bone tumors about the knee. Tech Knee Surg. 2003; 2(4): 274-85.
Wurtz D: Progress in the treatment of giant cell tumor of bone. Curr Opin Orthop. 1999; 10(6): 474-80.
Saiz P, Virkus W, Piasecki P, Templeton A, Shott S, Gitelis S: Results of giant cell tumor of bone treated with intralesional excision. Clin Orthop Relat Res. 2004; (424): 221-6.
Muramatsu K, Ihara K, Taguchi T: Treatment of giant cell tumor of long bones: clinical outcome and reconstructive strategy for lower and upper limbs. Orthopedics. 2009; 32(7): 491.
Feigenberg SJ, Marcus Jr RB, Zlotecki RA, Scarborough MT, Berrey BH, Enneking WF: Radiation therapy for giant cell tumors of bone. Clin Orthop Relat Res. 2003; (411): 207-16.
Gruenwald N, Demos TC, Lomasney LM, Rapp T: The case. Giant-cell tumor. Orthopedics. 2006; 29(2): 167-71.
Banerjee D: Outcome in giant cell tumor of bone. Curr Opin Orthop. 2007; 18(6): 611-14.
Knochentumoren A, Becker WT, Dohle J, Bernd L, Braun A, Cserhati M, et al: Local recurrence of giant cell tumor of bone after intralesional treatment with and without adjuvant therapy. J Bone Joint Surg Am. 2008; 90(5): 1060-7.
Blackley HR, Wunder JS, Davis AM, White LM, Kandel R, Bell RS: Treatment of giant-cell tumors of long bones with curettage and bone-grafting. J Bone Joint Surg Am. 1999; 81(6): 811-20.
Pals SD, Wilkins RM: Giant cell tumor of bone treated by curettage, cementation, and bone grafting. Orthopedics. 1992; 15(6): 703-8.
Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA, et al: Giant cell tumor of long bone: a Canadian Sarcoma Group study. Clin Orthop Relat Res. 2002; (397): 248-58.