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International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2017, Volume 3 Issue 2

Retrospective study of function outcome in giant cell tumor treated by sandwich technique with internal fixation

Author(s): Dr. Anand Mohan Meena, Dr. Pankaj Jain and Dr. RL Dayma
Abstract: Purpose: To evaluate outcomes of 27 patients who underwent curettage, use of phenol, and reconstruction using the sandwich technique with internal fixation with plate or k wires for giant cell tumor (GCT) of bone around the knee and ankle.
Methods: 15 women and 12 men aged 19 to 46 (mean, 29.6) years underwent intralesional curettage, use of phenol, and reconstruction using the sandwich technique with internal fixatation with plate or k wires for GCT of the proximal tibia (n=12) or distal femur (n=13) or distal tibia (n=2). 1, 16, and 10 tumors were classified as grade I, grade II, and grade III, respectively. Four of the grade III tumors were associated with an extra-articular pathological fracture. Patients underwent intralesional curettage, use of phenol, and reconstruction with autograft (iliac crest), gel foam, and cement (the sandwich technique) with internal fixation with plates or k wires. Pathological fractures were fixed with plates. Results were based on serial radiographs showing consolidation of the lesion along with a subjective clinical examination and functional evaluation noted in the patient’s records. Functional outcome was evaluated using the Musculoskel et al Tumor Society (MSTS) score.
Result: The mean follow-up period was 75.4 (60- 108) months. The mean MSTS score was 27.4 out of 30 (standard deviation, 3; range, 19–30). No patient had recurrence. No patient had malignant transformation.
Conclusion: Intralesional curettage, use of phenol, and reconstruction with allograft, gel foam, and cement (the sandwich technique) for GCT of bone achieved good functional outcome and a low recurrence rate.
Pages: 817-822  |  844 Views  28 Downloads
How to cite this article:
Dr. Anand Mohan Meena, Dr. Pankaj Jain and Dr. RL Dayma. Retrospective study of function outcome in giant cell tumor treated by sandwich technique with internal fixation. International Journal of Orthopaedics Sciences. 2017; 3(2): 817-822. DOI: 10.22271/ortho.2017.v3.i2i.89
International Journal of Orthopaedics Sciences