scholarly journals A posterior approach for curettage in giant cell tumor of bone in the proximal fibula

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Akio Sakamoto ◽  
Takeshi Okamoto ◽  
Shuichi Matsuda

Abstract Giant cell tumor of bone (GCTB) is a locally aggressive tumor. En bloc resection to reduce the recurrence rate has a high risk of peroneal nerve paralysis and knee instability associated with collateral ligament resection. In the current report, the posterior approach to curettage is introduced in a 55-year-old male with GCTB in the proximal fibula. The approach makes a wide operative field for curettage of GCTB in the proximal fibula without dissecting the peroneal nerve. The approach would prevent postoperative peroneal nerve palsy and knee instability and possibly reduce recurrences.

2018 ◽  
Vol 32 (1) ◽  
pp. 249-253
Author(s):  
Khodamorad Jamshidi ◽  
Mehrdad Bahrabadi ◽  
Abolfazl Bagherifard ◽  
Mehdi Mohamadpour

2013 ◽  
Vol 7 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Theresa J.C Pazionis ◽  
Hussain Alradwan ◽  
Benjamin M Deheshi ◽  
Robert Turcotte ◽  
Forough Farrokhyar ◽  
...  

Introduction: Surgical management of Giant Cell Tumor of Bone of the distal radius (GCTDR) remains controversial due to risk of local recurrence (LR) offset by functional limitations which result from en-bloc resection. This study aims to determine the oncologic and functional outcomes of wide excision (WE) vs intralesional curettage (IC) of GCTDR. Methods: A complete search of the applicable literature was done. Included studies reported on patients from the same cohort who were surgically treated for GCTDR with WE or IC. Two reviewers independently assessed all papers. The primary outcome measure was LR. Results: One-hundred-forty-one patients from six studies were included: 60 treated with WE, and 81 with IC. Five WE patients (8%) suffered LR whereas 25 IC patients (31%) did. The odds of LR were three times less in the WE group vs the IC group. MSTS1993 scores, where available, were on average 'good' with WE and 'excellent' with IC. Conclusions: Within statistical limitations the data support an attempt, where feasible, at wrist joint preservation and superior function with IC. Intralesional curettage is reasonable when the functional benefit outweighs the risk of recurrence as is the case in many cases of GCT of the distal radius.


2018 ◽  
Vol 13 (1) ◽  
pp. 150
Author(s):  
SeddighiAmir Saied ◽  
Seddighi Afsoun ◽  
Nikouei Amir ◽  
Javadian Hamed

2019 ◽  
Vol 26 (09) ◽  
pp. 1597-1599
Author(s):  
Mukesh Kumar ◽  
Masroor Ahmed ◽  
Muhammad Saleem ◽  
Khurram Sahar

Osteoclastoma (Giant Cell Tumor) of Cuboid bone is a rare bone tumor. GCT is primarily seen in metaphyseo-epiphyseal region of long bones after skeletal maturity. This patient is a 17 years old female, presented with painful swelling of the right foot. On conventional radiographs, there is osteolytic lesion in Cuboid bone of right foot. En bloc resection and autologous bone grafting (iliac crest) was done. Patient's pain and swelling disappeared following the procedure and there is no evidence of recurrence at 18 months follow up.


Spine ◽  
2017 ◽  
Vol 42 (18) ◽  
pp. 1383-1390 ◽  
Author(s):  
Raphaële Charest-Morin ◽  
Charles G. Fisher ◽  
Peter P. Varga ◽  
Ziya L. Gokaslan ◽  
Laurence D. Rhines ◽  
...  

Foot & Ankle ◽  
1981 ◽  
Vol 1 (4) ◽  
pp. 235-244 ◽  
Author(s):  
Martin M. Malawer ◽  
Raymond Vance

Two cases of giant cell tumor and aneurysmal bone cyst of the talus were analyzed with a review of eight cases from the literature. This anatomic setting represents a distinct clinical and roentgenographic entity with a less aggressive natural history than the more common sites. All lesions presented a characteristic radiographic involvement of the head and neck of the talus. Eight of ten lesions were treated by curettage, with or without bone grafting, and healed. Two underwent partial en bloc resection. None developed late fracture, recurrence, avascular necrosis, or metastases. We concluded that a giant cell tumor or aneurysmal bone cyst when located in the talus may be difficult to differentiate but tends to exhibit a less aggressive biological behavior and a more favorable prognosis than the more classical proximal lesion. Talectomy is not indicated in the primary treatment. Curettage with or without bone graft has a high success rate. Cryosurgery should be reserved for a recurrent lesion.


Sign in / Sign up

Export Citation Format

Share Document