[Curettage plus cement reconstruction for treating giant cell tumor of limbs].
OBJECTIVE
To evaluate curettage plus cement reconstruction in the treatment of giant cell tumor (GCT) of limbs.


METHODS
125 patients with GCT of limbs were treated with curettage plus cement reconstruction. They were 62 men and 63 women aged from 12 to 71 years, 101 patients had primary GCT and 24 had recurrence of GCT. The recurrence at the knee was noted in 100 patients (80%).


RESULTS
125 patients were followed-up for 96 months (range 13 - 194 months). The recurrence rate was 12.7% in the primary group and 10.3% in the recurrent group. Two patients were infected. Joint functions were excellent.


CONCLUSIONS
Curettage plus cement reconstruction is safe and effective in treating local GCT of limbs. The key the method is aggressive curettage of the lesion via a bone window. Cement is adjuvant therapy only.
Zhang
Q
Q
Department of Orthopaedic Oncology, Beijing Jishuitan Hospital, Beijing 100035.
Cai
Y
Y
Niu
X
X
Hao
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000601:surgery* / Q000628:therapy; D002648:Child; D003475:Curettage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000601:surgery* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies
D001843:Bone Cements