Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor

Abstract

We present a case of knee reconstruction 20 years after treatment of a giant cell tumor (GCT) with curettage and cementation. There is currently an ongoing debate whether cement or allograft bone is the preferred material for filling the void after GCT curettage. In this case we were able to readily implant a primary total knee replacement without disturbing the existing well-interdigitated large cement bolus and did not require any stems or augments for the reconstruction. Given the ease of TKR implantation in this patient, we feel that the use of cement following curettage of a GCT lesion is a better choice than allograft bone which may not provide enough structural support for the knee reconstruction and lead to a much more extensive procedure.

En bloc giant cell tumor resection following direct hemiarthroplasty shoulder reconstruction–functional outcome: A case report

“…Giant cell tumors (GCT) are benign, locally aggressive tumors, typically affecting young patients. They commonly present with pain and 10–15% have an associated pathological fracture [11]. The management of giant cell tumors continues to be one of the most challenging areas in orthopedic oncology.…”

“…Giant cell tumor (GCT) is a type of benign tumor which is locally aggressive and has the capability to metastasize [[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14]]. It represents approximately 5% of all primary bone tumors [2,[2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14]].…”

“…Giant cell tumor (GCT) is a type of benign tumor which is locally aggressive and has the capability to metastasize [[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14]]. It represents approximately 5% of all primary bone tumors [2,[2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14]]. 85% lesion occur in long bones with most frequent sites in distal femur (26%), proximal tibia (19%) and distal radius (11%) [[1], [2], [3], [4], [5], [6], [7], [8],10,[2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14]].…”

Navigation assisted primary total knee arthroplasty sixteen years after gaint cell tumor distal femoral cement augmentation

“…It was a case report of 20 yrs GCT with cementation was done with conventional technique where they mentioned that use of navigation could have potentially made the case even easier by avoiding the need for an intramedullary femoral rod. Theoretical contamination of the femoral canal by residual tumor would have been prevented by using navigation [21] . This report presents the outcome of TKA performed using accelerometer based navigation for both the distal femoral and proximal tibial resections.…”

Benign Bone Tumors When They Coexist with Common Orthopaedic Conditions

“…Zylberberg et al also describe a case report with good results of a GCT treated 20 years prior to presenting for the TKA. 35 They also describe aberrant anatomy of the distal femur due to the history of the GCT and its treatment. In contrast to the first case described, this patient was treated with curettage and cementation with polymethylmethacrylate (PMMA).…”