Functional outcome in giant cell tumor of distal radius treated with excision and fibular arthroplasty: a case series

Barik, Sitanshu; Jain, Anjali; Ahmad, Sabeel; Singh, Vivek Ajit

doi:10.1007/s00590-020-02679-2

Cited by 15 publications

(11 citation statements)

References 33 publications

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“…Barik et al reported a case series of 11 patients with distal radius GCTB treated with resection and fibular autograft arthroplasty and found acceptable function with a mean MSTS score of 21.09 at mean follow-up of 31.9 months. 5 Qu et al compared patients treated with wrist arthrodesis and fibular autograft arthroplasty and found improved function in the arthrodesis group. 18 Other studies that have addressed functional outcomes in knee GCTB have reported excellent function with MSTS scores around 90% after curettage.…”

Section: Discussionmentioning

confidence: 99%

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Total Knee Arthroplasty for Osteoarthritis Is Uncommon after Intralesional Curettage in Giant Cell Tumor of Bone

et al. 2022

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Giant cell tumor of bone (GCTB) is most often treated with intralesional curettage; however, periarticular lesions have been shown to increase risk for osteoarthritis. Additionally, the location of these lesions may occasionally preclude a joint-sparing procedure in recurrent tumors. This study sought to investigate rates of secondary arthroplasty in long-term follow-up of knee GCTB. Cases of knee GCTB treated at our institution were reviewed. Rates of recurrence and secondary arthroplasty were recorded, and Kaplan-Meier survival analyses were performed. The records of 40 patients were reviewed. Local recurrence occurred in 25% of patients. The 1-, 5-, and 10-year recurrence-free survival (RFS) probability was 87.4% (95% CI, 77.0–97.7), 72.4% (95% CI, 57.6–87.2), and 72.4% (95% CI, 57.6–87.2), respectively. Function improved after surgery with a mean preoperative MSTS score of 14.9 (standard deviation [SD] 8.4) and mean postoperative MSTS score of 25.1 (SD 5.6) (p <0.001). Three patients had evidence of radiographic osteoarthritis at the last follow-up though they did not require arthroplasty. Arthroplasty was performed as a secondary procedure in six patients. Five patients underwent arthroplasty for recurrent tumors after initial treatment with curettage and one patient underwent patellar arthroplasty for osteoarthritis after initial treatment with an allograft composite arthroplasty. Arthroplasty is performed as a secondary procedure in patients with GCTB at a relatively infrequent rate and more often for cases of recurrent disease than for osteoarthritis. Overall, patients treated for GCTB have improved functional outcomes after surgery than before. Large, multi-institutional studies may be required to assess the incidence of secondary osteoarthritis requiring arthroplasty as this was an infrequent finding in our cohort.

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Section: Discussionmentioning

confidence: 99%

“…While initial treatment typically involves intralesional curettage and high-speed burring and adjuvant of choice followed by filling of the bone defect with polymethyl methacrylate (PMMA), or bone cement, some lesions are so destructive that they may require arthroplasty or other procedures. 2 3 4 5…”

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confidence: 99%

Total Knee Arthroplasty for Osteoarthritis Is Uncommon after Intralesional Curettage in Giant Cell Tumor of Bone

et al. 2022

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“…The primary aim of treating giant cell tumors is sound resection with favorable functional than cosmesis outcomes. Reconstructive surgery can be very challenging due to the local breakdown of the lesion [10] . Wide resection is indicated to the destruction of the endosteal surface of the cortex and surrounding soft tissue [5] , [8] .…”

Section: Discussionmentioning

confidence: 99%

Wide resection and reconstruction of giant cell tumor of the distal humerus with favorable outcomes in 3 months: A case report

Putera

Satria

Wahyudi

2022

International Journal of Surgery Case Reports

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“…Diese prinzipiell benignen Tumoren können in relativ kurzer Zeit deutlich an Größe zunehmen, Gewebe infiltrieren und destruieren 1 2 3 . Dagegen sind häufigere Ursachen für große knöcherne Defekte an der oberen Extremität Riesenzelltumoren oder Infektionen mit nachfolgend notwendiger Rekonstruktion 4 5 6 7 8 9 10 11 12 .…”

Section: Introductionunclassified

Karpusrekonstruktion mit zweifach osteotomierter, triangulärer freier Fibula

Thiel¹,

Held²,

Daigeler³

et al. 2022

Handchir Mikrochir Plast Chir

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Functional outcome in giant cell tumor of distal radius treated with excision and fibular arthroplasty: a case series

Cited by 15 publications

References 33 publications

Total Knee Arthroplasty for Osteoarthritis Is Uncommon after Intralesional Curettage in Giant Cell Tumor of Bone

Total Knee Arthroplasty for Osteoarthritis Is Uncommon after Intralesional Curettage in Giant Cell Tumor of Bone

Wide resection and reconstruction of giant cell tumor of the distal humerus with favorable outcomes in 3 months: A case report

Karpusrekonstruktion mit zweifach osteotomierter, triangulärer freier Fibula

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