Giant cell tumors with intraarticular fracture. Two-stage local excision, cryosurgery and cementation in 5 patients with distal femoral tumor followed for 2-4 years.
We describe a two-stage operation for intraarticular fracture through a giant cell tumor of the bone. The first stage aims at accurate reduction and fracture union, including curettage, open reduction and minimal internal fixation, autologous bone grafting and temporary bone cement filling. Following bone union, the second operation aims at tumor eradication, including meticulous recurettage, cryosurgery, cementing and stable internal fixation. We report our preliminary results in 5 patients, who were followed 2-4 years. All fractures united, there were no early complications or local recurrences and good function was achieved.
Alkalay
D
D
Department of Orthopedics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Kollender
Y
Y
Mozes
M
M
Meller
I
I
D000293:Adolescent; D000328:Adult; D001843:Bone Cements; D001864:Bone Wires; D003452:Cryosurgery; D003475:Curettage; D005260:Female; D005264:Femoral Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D005266:Femoral Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D018212:Giant Cell Tumor of Bone / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000379:methods; D011859:Radiography; D016896:Treatment Outcome
D001843:Bone Cements