The application of bone cement to fill the surgical defect after resection of a giant-cell tumor: A case report
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2005, Vol 7, Issue 5
Abstract
Background. A case of a large bone defect treated with bone cement filler is discussed, and the usefulness and advantages of this treatment method are assessed. Case report. A 25-year-old male was admitted to our hospital with an intra-articular pathological fracture of the lateral femoral condyle due to an underlying giant cell tumor (stage I according to the Enneking classification). The tumor was surgically resected, and the walls of the post-operative bone defect were treated with a burr. The defect was then filled with bone cement (PMMA). The tumor was found to be histologically benign. Post-surgical treatment included immobilization in a cylinder cast and no weight bearing for a period of 8 weeks. The follow-up included frequent check-ups and repeated radiographs and CT scans. The follow-up period was 7 years, during which time no clinical or radiological signs of tumor recurrence were found. There was visible osteosclerosis surrounding the bone cement filler, which is believed to be a prognostically favorable finding, associated with a low risk of recurrence. The functional outcome of treatment was assessed with the Knee Rating Score. The patient gained a knee score of 100 points and a functional score of 100 points.Conclusions. The use of bone cement in order to fill a bone defect after tumor excision proved to be an effective and safe method to manage a giant-cell tumor of the bone. This method provided good biomechanical circumstances and allowed for good follow-up, as it enabled easy detection of possible tumor recurrence.
Authors and Affiliations
Sławomir Dudko, Damian Kusz, Łukasz Cieliński, Mariusz Nowak
Keywords
Related Articles
- EP ID EP56373
- DOI -
- Views 71
- Downloads 0
Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment.
Entrapment of the suprascapular nerve is a rare peripheral neuropathy, which can be easily overlooked in the differential diagnosis of shoulder pain and dysfunction. Entrapment of the suprascapular nerve can occur at dif...
Pseudoradicular Symptoms In Patients Exhibiting the Lumbar Spinal Disc Disease
Introduction: The goal is to describe occurrences of functional motion system disorders in patients who exhibit the lumbar spinal disc disease. It is assumed that the lower back pain- radicular and pseudoradicular is...
Accuracy of diagnoses in patients with spinal cord injury referred to hospital rehabilitation departments
Summary:Establishing a comprehensive diagnosis, together with the implementation of evidence-based therapeutic methods, is a prerequisite for effective and safe rehabilitation. The purpose of the study was to evaluate th...
Shoulder Hemiarthroplasty for Trauma: does a Tuberosity Friendly Prosthesis Improve Outcome?
Background. Reported outcomes of shoulder hemiarthroplasty for proximal humeral fractures have been poor due to tuberosity non-union or rotator cuff disruption. Newer designs provide features to allow secure tuberosity a...
Post Irradiation Myelopathy: From the Physiatrists' Point of View
We describe two patients who developed a severe spinal cord damage long time after cessation of irradiation therapy. The various and unique rehabilitation medicine aspects are discussed and the literature is surveyed.