Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study
Introduction: Giant cell tumors around the knee joint are the most common aggressive benign tumors. Several limb sparing and limb ablation surgeries are practiced with varying level of success. Here we present an original outcome study conducted on 14 patients with giant cell tumor around the knee j...
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Wolters Kluwer Medknow Publications
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doaj-f1a50995a7eb4f7f93d8f37e42dae8b82021-07-07T13:42:01ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedic Diseases and Traumatology2665-93522665-93602018-01-0111333710.4103/jodp.JODP_4_18Do we need internal fixation devices for giant cell tumors around knee joint? An outcome studyRitesh RunuVidya SagarAshutosh KumarArnab SinhaSantosh KumarIntroduction: Giant cell tumors around the knee joint are the most common aggressive benign tumors. Several limb sparing and limb ablation surgeries are practiced with varying level of success. Here we present an original outcome study conducted on 14 patients with giant cell tumor around the knee joint, treated with intralesional curettage, bone grafting and bone cementing with or without internal fixation. Material and Methods: This is a retrospective study carried out in an institutional set up. Fourteen patients were operated and Internal fixation was used in five cases. the patients were followed up for 2 years minimum. Results: Total fourteen patients were treated with giant cell tumors around knee joint. Phenol cauterization showed reduced recurrence compared to no phenol cauterization. Collapse was noted in cases done with curettage and only cementing or only bone grafting. plating group showed no collapse. No collapse was noted in cases with subchondral bone more than 5 mm. Conclusion: For giant cell tumor, campannaci grade III, internal fixation is suggested if subchondral bone is less than 5 mm and articular involvement is more than 50%.http://www.jodt.org/article.asp?issn=2665-9352;year=2018;volume=1;issue=1;spage=33;epage=37;aulast=Runubone cementingbone graftinggiant cell tumorinternal fixationintralesional curettage |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ritesh Runu Vidya Sagar Ashutosh Kumar Arnab Sinha Santosh Kumar |
spellingShingle |
Ritesh Runu Vidya Sagar Ashutosh Kumar Arnab Sinha Santosh Kumar Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study Journal of Orthopaedic Diseases and Traumatology bone cementing bone grafting giant cell tumor internal fixation intralesional curettage |
author_facet |
Ritesh Runu Vidya Sagar Ashutosh Kumar Arnab Sinha Santosh Kumar |
author_sort |
Ritesh Runu |
title |
Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study |
title_short |
Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study |
title_full |
Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study |
title_fullStr |
Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study |
title_full_unstemmed |
Do we need internal fixation devices for giant cell tumors around knee joint? An outcome study |
title_sort |
do we need internal fixation devices for giant cell tumors around knee joint? an outcome study |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Orthopaedic Diseases and Traumatology |
issn |
2665-9352 2665-9360 |
publishDate |
2018-01-01 |
description |
Introduction: Giant cell tumors around the knee joint are the most common aggressive benign tumors. Several limb sparing and limb ablation surgeries are practiced with varying level of success. Here we present an original outcome study conducted on 14 patients with giant cell tumor around the knee joint, treated with intralesional curettage, bone grafting and bone cementing with or without internal fixation. Material and Methods: This is a retrospective study carried out in an institutional set up. Fourteen patients were operated and Internal fixation was used in five cases. the patients were followed up for 2 years minimum. Results: Total fourteen patients were treated with giant cell tumors around knee joint. Phenol cauterization showed reduced recurrence compared to no phenol cauterization. Collapse was noted in cases done with curettage and only cementing or only bone grafting. plating group showed no collapse. No collapse was noted in cases with subchondral bone more than 5 mm. Conclusion: For giant cell tumor, campannaci grade III, internal fixation is suggested if subchondral bone is less than 5 mm and articular involvement is more than 50%. |
topic |
bone cementing bone grafting giant cell tumor internal fixation intralesional curettage |
url |
http://www.jodt.org/article.asp?issn=2665-9352;year=2018;volume=1;issue=1;spage=33;epage=37;aulast=Runu |
work_keys_str_mv |
AT riteshrunu doweneedinternalfixationdevicesforgiantcelltumorsaroundkneejointanoutcomestudy AT vidyasagar doweneedinternalfixationdevicesforgiantcelltumorsaroundkneejointanoutcomestudy AT ashutoshkumar doweneedinternalfixationdevicesforgiantcelltumorsaroundkneejointanoutcomestudy AT arnabsinha doweneedinternalfixationdevicesforgiantcelltumorsaroundkneejointanoutcomestudy AT santoshkumar doweneedinternalfixationdevicesforgiantcelltumorsaroundkneejointanoutcomestudy |
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