International Orthopaedics

, Volume 28, Issue 4, pp 239–243 | Cite as

Giant-cell tumors of bone: an analysis of 87 cases

Original Paper

Abstract

We reviewed 87 patients with giant-cell tumor treated between 1992 and 2001. The mean follow-up was 62 (28–138) months. Fifty-six lesions were treated with intralesional curettage with adjunctive phenol treatment and reconstructed with autograft and allograft. Thirty-one lesions were treated with wide resection and reconstructed with prosthesis, osteochondral allograft, or alloprosthetic composite. Overall recurrence was 12%. Recurrence rate after curettage was 18% and 3% after wide excision. Complication rate after wide excision was higher than that after curettage. Functional outcome was evaluated using the Enneking scoring system. Average rating was 86% for the lower extremity and 83% for the upper extremity. The overall satisfactory rate was 88%.

Résumé

Nous avons examiné 87 malades atteint de tumeur à cellules géantes, traitée entre 1992 et 2001. Le suivi moyen était de 62 mois (28–138). Cinquante-six lésions ont été traitées par curetage avec traitement adjuvant par du phénol et reconstruites avec autogreffe et allogreffe. Trente et une lésions ont été traitées par résection large et reconstruction avec prothèse, allogreffe ostéochondrale ou en composite « alloprothèse ». Le taux de récidive global était de 12%. Le taux de récidive après curetage était de 18% et de 3% après résection large. Le taux de complication après résection large était plus élevé qu’après curetage. Le résultat fonctionnel a été évalué avec le score de Enneking. L’estimation moyenne était 86% pour le membre inférieur et 83% pour le membre supérieur. Le taux de satisfaction global était de 88%.

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Yu-Ping Su
    • 1
    • 2
  • Wei-Ming Chen
    • 1
    • 2
  • Tain-Hsiung Chen
    • 1
    • 2
  1. 1.Department of Orthopaedics and TraumatologyVeterans General HospitalTaipeiTaiwan, ROC
  2. 2.Department of Surgery, School of MedicineNational Yang-Ming UniversityTaipeiTaiwan, ROC

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