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Abstract
The authors present a case of extensive biopsy proven giant cell tumour of the distal femur in a 27 years-old man revealed by a trauma. He was treated by classic curettage-graft and additional simple cast immobilization instead of internal fixation to prevent the collapse of the fragile affected condyle after curettage. The functional outcome of the knee is satisfactory after one year of follow-up.
The POP cast could be an affordable and safe alternative to internal fixation in the treatment of GCT with high risk of fracture in limited conditions of practice in Africa.
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References
- Zhen W, yatian H, Songijan L, Qingliang W. Giant-cell tumor of bone. The long-term results of the treatment by curettage and bone graft. J bone Joint Surg Br. 86(2):212-6, 2004.
- Ayerza MA, Aponte-Tinao LA, Farfalli GL, Restrepo CA, Muscolo DL. Joint preservation after extensive curettage of knee giant cell tumors. Clin Orthop Relat Res. 467(11):2845-51, 2009.
- Li JM, Yang ZP, Li ZF, Li X, Carter SR. Knee reconstruction with preservation of the meiscus in the tibial giant cell tumor. Clin Relalt Res. 466(12):3101-7, 2008.
- Saikia KC, Bhuyan SK, Goswami S, Bora A. Rare site giant cell tumors: report of two cases on phalanges of the fingers and review of the literature. J Orthop traumatol. 10(4):193-7, 2009.
- Abdelrahman M, Bassiony AA, Shalaby H, Assal MK. Cryosurgery and impaction subchondral bone graft for the treatment of giant cell tumor around the knee. HSS J. 5(2):123-8, 2009.
- Malawer MM, Bickels J, Meller J, Buch RG, Henshaw RM, Kollender Y. Clin Orthop Relat Res. (359):176-88, 1999.
- Fraquet N, Faizon G, Rosset P, Philipeau JM, Waast D, Gouin F. Orthop Traumatol Surg Rres 95(6) :402-6, ; 2009.
- Qin H, Cai J, Fang J, Xu H, Gong Y. Could MTA be a novel medicine on the recurrence therapy for GCTB ? Med hypotheses. 74(2):368-9, 2010.
- Lackman RD, Crawford EA, King JJ, Ogilvie CM. Conservative treatment of Campanacci grade III proximal humerus giant cell tumors. Clin Orthop Relat Res. 467(5):1355-9, 2009.
- Datta NK, Ahamed SU, Miah MM, Nessa A. Application of mixed bone graft (autograft + allograft) in the management of giant cell tumor of bone. Mymensinh Med J 19(2):225-31, ; 2010.
- Pho RW. Free vascularised fibular transplant for replacement of the lower radius. J Bone Joint Surg Br. 61-B(3):362-5, 1979.
- Bajec J, Gang RK Bone reconstruction with a free vascularized fibular graft after giant cell tumour resection. J Hand Surg Br. 18(5):565-7, 1993.
- George B, Abudu A, Grimer RJ, Carter SR, Tillman RM. The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts. J Bone Joint Surg Br. 90(5):648-51, 2008.
- Bassiony AA. Giant cell tumour of the distal radius: wide resection and reconstruction by non-vascularised proximal fibular autograft. Ann Acad Med Songapore. 38(10):900-4, 2009.
- Dhillon MS, saini R, Gill SS. Is there a need for reconstruction after excision of the distal ulna for giant-cell tumour? Acta Orthop Belg. 76(1):30-7, 2010.
- Bassiony AA, Abdelrahman M, Abdelhady A, Assal MK. Resection arthrodesis for the management of aggressive giant cell tumor of the distal femur. Indian J Orthop. 43(1):67-71, 2009.
- Lyall H, El-Zebdeh M, Ireland J. Primary total knee arthroscopy performed 20 years after treatment for giant cell tumor. J Knee Surg; 22(3):278-80, 2009.
- Dudko S, Kusz D, Cieliński L, nowak M. The application of bone cement to fill the surgical defect after resection of a giant-cell tumor: A case report. Orthop Traumatol Rehabil. 7(5):563-6, 2005.
References
Zhen W, yatian H, Songijan L, Qingliang W. Giant-cell tumor of bone. The long-term results of the treatment by curettage and bone graft. J bone Joint Surg Br. 86(2):212-6, 2004.
Ayerza MA, Aponte-Tinao LA, Farfalli GL, Restrepo CA, Muscolo DL. Joint preservation after extensive curettage of knee giant cell tumors. Clin Orthop Relat Res. 467(11):2845-51, 2009.
Li JM, Yang ZP, Li ZF, Li X, Carter SR. Knee reconstruction with preservation of the meiscus in the tibial giant cell tumor. Clin Relalt Res. 466(12):3101-7, 2008.
Saikia KC, Bhuyan SK, Goswami S, Bora A. Rare site giant cell tumors: report of two cases on phalanges of the fingers and review of the literature. J Orthop traumatol. 10(4):193-7, 2009.
Abdelrahman M, Bassiony AA, Shalaby H, Assal MK. Cryosurgery and impaction subchondral bone graft for the treatment of giant cell tumor around the knee. HSS J. 5(2):123-8, 2009.
Malawer MM, Bickels J, Meller J, Buch RG, Henshaw RM, Kollender Y. Clin Orthop Relat Res. (359):176-88, 1999.
Fraquet N, Faizon G, Rosset P, Philipeau JM, Waast D, Gouin F. Orthop Traumatol Surg Rres 95(6) :402-6, ; 2009.
Qin H, Cai J, Fang J, Xu H, Gong Y. Could MTA be a novel medicine on the recurrence therapy for GCTB ? Med hypotheses. 74(2):368-9, 2010.
Lackman RD, Crawford EA, King JJ, Ogilvie CM. Conservative treatment of Campanacci grade III proximal humerus giant cell tumors. Clin Orthop Relat Res. 467(5):1355-9, 2009.
Datta NK, Ahamed SU, Miah MM, Nessa A. Application of mixed bone graft (autograft + allograft) in the management of giant cell tumor of bone. Mymensinh Med J 19(2):225-31, ; 2010.
Pho RW. Free vascularised fibular transplant for replacement of the lower radius. J Bone Joint Surg Br. 61-B(3):362-5, 1979.
Bajec J, Gang RK Bone reconstruction with a free vascularized fibular graft after giant cell tumour resection. J Hand Surg Br. 18(5):565-7, 1993.
George B, Abudu A, Grimer RJ, Carter SR, Tillman RM. The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts. J Bone Joint Surg Br. 90(5):648-51, 2008.
Bassiony AA. Giant cell tumour of the distal radius: wide resection and reconstruction by non-vascularised proximal fibular autograft. Ann Acad Med Songapore. 38(10):900-4, 2009.
Dhillon MS, saini R, Gill SS. Is there a need for reconstruction after excision of the distal ulna for giant-cell tumour? Acta Orthop Belg. 76(1):30-7, 2010.
Bassiony AA, Abdelrahman M, Abdelhady A, Assal MK. Resection arthrodesis for the management of aggressive giant cell tumor of the distal femur. Indian J Orthop. 43(1):67-71, 2009.
Lyall H, El-Zebdeh M, Ireland J. Primary total knee arthroscopy performed 20 years after treatment for giant cell tumor. J Knee Surg; 22(3):278-80, 2009.
Dudko S, Kusz D, Cieliński L, nowak M. The application of bone cement to fill the surgical defect after resection of a giant-cell tumor: A case report. Orthop Traumatol Rehabil. 7(5):563-6, 2005.