Excision Curettage and Allografting of Giant Cell Tumor

Between 1987 and 1994 we followed 22 patients with giant cell tumors involving the long bones. Their average age was 31 years (range 17–50 years). Five patients had grade II tumors and the other 17 grade III lesions. The average volume of lesions after curettage was 231 ml (range 56–450 ml). All of...

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Bibliographic Details
Published inWorld journal of surgery Vol. 22; no. 5; pp. 432 - 437
Main Authors Shih, Hsin‐Nung, Hsu, Robert Wen‐Wei, Sim, Franklin H.
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.05.1998
Springer
Springer Nature B.V
Subjects
Adolescent
Adult
Biological and medical sciences
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - surgery
Bone Transplantation
Curettage
Female
Femoral Neoplasms - diagnostic imaging
Femoral Neoplasms - surgery
Giant Cell Tumors - diagnostic imaging
Giant Cell Tumors - surgery
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tibia - diagnostic imaging
Tibia - surgery
Diseases of the osteoarticular system
Lower limb
Check
Homograft
Fracture
Cauterization
Result
Curettage
Tibia
Giant cell tumor
Surgery
Limb
Graft
Tumor
Complication
Long bone
Human
Postoperative
Radiodiagnosis
Trauma
Infection
Radiography
Treatment
Exeresis
Technique
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Summary:Between 1987 and 1994 we followed 22 patients with giant cell tumors involving the long bones. Their average age was 31 years (range 17–50 years). Five patients had grade II tumors and the other 17 grade III lesions. The average volume of lesions after curettage was 231 ml (range 56–450 ml). All of the patients underwent a modified excisional curettage, and the cavity was filled with deep‐frozen allogeneic corticocancellous bone graft with supplementary fixation. Two patients developed postoperative complications including a superficial wound infection in one case and a traumatic tibial plateau fracture in one case. The overall outcome was good or excellent in 91% of the patients (i.e., 20/22 cases). There was no degenerative joint arthritis and, surprisingly, no instance of tumor recurrence. Allograft infection and fracture were not present. An allogeneic cortical strut with cancellous bone graft can be used safely and is effective for grafting cavitary lesions created after complete removal of the tumor.
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SourceType-Scholarly Journals-1
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ISSN:0364-2313
1432-2323
DOI:10.1007/s002689900411