Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Use of cement for treatment of giant-cell tumors

Utilisation du ciment dans le traitement des tumeurs à cellules géantes

  • 20 Accesses

  • 2 Citations


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.


  1. 1.

    Dahlin DC, Unni KK (1986) Bone tumors. CC Thomas, Spingfield

  2. 2.

    Farooque M, Biyani A, Adhikari A (1990) Giant-cell tumours of the proximal fibula. J Bone Joint Surg [Br] 72-B: 723–724

  3. 3.

    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

  4. 4.

    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

  5. 5.

    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

  6. 6.

    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

  7. 7.

    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

  8. 8.

    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

  9. 9.

    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

Download references

Author information

Correspondence to M. Perrin.

Rights and permissions

Reprints and Permissions

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

Download citation

Key words

  • Giant-cell tumors of bone
  • Surgical cement