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A novel approach to juxta-articular aggressive and recurrent giant cell tumours: resection arthrodesis using bone transport over an intramedullary nail

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Aggressive juxta-articular giant cell tumours of the lower limbs occurring in young patients are a challenge to the average orthopaedic surgeon. Although it is the treatment of choice for these tumours, wide resection creates a problem for the reconstruction of large bone gaps. We describe our results after resection arthrodesis of such tumours using the technique of bone transport over a long intramedullary nail in 27 patients. This is the first and largest study of its kind in the management of giant cell tumours in the literature. All our patients fared well with this mode of treatment, and none had recurrence or major complications.


Les tumeurs à cellules géantes juxta articulaires des membres inférieurs surviennent chez de jeunes patients et leur traitement est difficile. Une résection large est le traitement de choix de ces tumeurs. Cette résection pose le problème de la reconstruction osseuse. Nous décrivons nos résultats après résection arthrodèse de telles tumeurs en utilisant la technique du transport osseux le long d’un clou centro médullaire, ce traitement a été utilisé chez 27 patients. Il s’agit de la première étude de ce type. Ces patients ont guéri avec ce traitement. Il n’y a pas eu de récidive de cette tumeur ni de complications majeures.

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Correspondence to S. Vidyadhara.

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Vidyadhara, S., Rao, S.K. A novel approach to juxta-articular aggressive and recurrent giant cell tumours: resection arthrodesis using bone transport over an intramedullary nail. International Orthopaedics (SICOT) 31, 179–184 (2007).

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