Soft-tissue Necrosis Complicating Bone-cement Filling in a Patient with Proximal Tibia Giant cell Tumour and Co-morbid Depressive Illness

• Main Authors: Sagar Narang, Neeta Varandani Narang
• Format: Article
• Language: English
• Published: Lumbini Medical College 2013-12-01
• Series: Journal of Lumbini Medical College
• Subjects: bone cement; depression; giant cell tumor; proximal tibia; skin burn
• Online Access: https://jlmc.edu.np/index.php/JLMC/article/view/35

Giant-cell tumors are common around the knee. Proximal tibia is a challenging location for limb-salvage due to paucity of soft-tissue cover. Bone cement has been used in treatment of giant-cell tumors after curettage. Tissue irritant properties of its monomer and exothermic reaction involved in polymerization may compromise surgical outcome to varying degrees. Preoperative planning and intra-operative positioning during cementing process are of importance to avoid complications. Co-occurrence of psychiatric illness in tumor patients should be managed by psychiatric counselling and drug therapy. This case has been presented to suggest measures for preventing soft-tissue complications during cement filling in proximal tibia, and for dealing with concomitant psychiatric problems for a holistic improvement in tumor patients.