A case of giant-cell tumor (GCT) of the pelvis treated by curettage followed by packing the cavity with cement is reported. The results of different series published during the last years are discussed. The series comparing curettage and packing with resection and allografts show that recurrences occur mainly in the former and that their incidence is between 5 and 20%. Resections with allografts are followed in a considerable number of cases by complications due to the allograft. Other series relate to different sites, of which some are regarded as more dangerous: spine, pelvis, lower end of radius and upper end of fibula (where resection, if indicated, must include the whole of the upper tibiofibular articulation). The use of cement must be preceded by a scrupulous curettage of the cavity, with burring of the wall with a dental burr and possible tamponade with phenol. Cement is useful in three ways: a thermal effect on any tumor residues; support for the subchondral bone; contrast medium for postoperative monitoring. The technique of curettage and packing with cement seems indicated for benign tumors (stage III aggression does not indicate a malignant tumor), whose walls are not breached, including a stage of recurrence.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Dahlin DC, Unni KK (1986) Bone tumors. CC Thomas, Spingfield
Farooque M, Biyani A, Adhikari A (1990) Giant-cell tumours of the proximal fibula. J Bone Joint Surg [Br] 72-B: 723–724
Gitelis S, Mallin Bruce A, Piasecki P, Turner F (1993) Intralesional excision compared with en bloc resection for giant-cell tumors of bone. J Bone Joint Surg [Am] 75-A: 1648–1655
Muscolo DL, Ayerza MA, Calabrese ME, Gruenberg M (1993) The use of a bone allograft after resection of giant-cell tumor close to the knee. J Bone Joint Surg [Am] 75-A: 1656–1662
O'Donnell RJ, Pringfield S, Motwani HK (1995) Recurrence of giant-cell tumors of the long bones after curettage and packing with cement. Revue Orthop Up App Moteur 81 [Suppl]: 10501
Sanjay Bhupendra KS, Frassica Frank J, Frassica DA, Krishnan Unni K, McLeod R A, Sim FH (1993) Treatment of giant-cell tumor of the pelvis. J Bone Joint Surg [Am] 75-A: 1466–1475
Sanjay Bhupendra KS, Sim FH, Krishnan Unni K, McLeod RA, Klassen RA (1993) Giant-cell tumours of the spine. J Bone Joint Surg [Br] 75-B: 148–154
Vander Griend RA, Funderburk CH (1993) The treatment of giant-cell tumors of the distal part of the radius. J Bone Joint Surg [Am] 75-A: 899–908
Wray CC, MacDonald AW, Richardson RA (1990) Benign giant cell tumour with metastases to bone and lung. One case studied over 20 years. J Bone Joint Surg [Br] 72-B:486–489
About this article
Cite this article
Perrin, M., Fraisse, J. & Cuisenier, J. Use of cement for treatment of giant-cell tumors. Eur J Orthop Surg Traumatol 7, 95–99 (1997). https://doi.org/10.1007/BF00578777
- Giant-cell tumors of bone
- Surgical cement