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Clinical and radiological long-term results after operative treatment of chondroblastoma

  • Orthopaedic Surgery
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Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The aim of this study was the investigation of radiological and clinical long-term results after surgery for chondroblastoma in a single orthopedic oncological center.

Method

As much as 24 patients were enrolled in the study using an in-house tumor data-base (age, sex, patient history, clinical symptoms, type of surgery, complications, and histological results), radiological findings (localization/size of the lesion, Lodwick-classification, Enneking-stages, and local recurrence), and clinical investigation (Enneking score). Mean follow-up was 8 years.

Results

Preferred sites were the knee-joint (distal femur 6, proximal tibia 6), followed by the proximal humerus (8), and the proximal femur. As much as 3 lesions were judged inactive, 13 active, and 8 aggressive. Apart from one case, all lesions were treated by curettage and filling of the defect by bone cement and/or cancellous bone chips. Only one patient suffered local recurrence after primary resection of the tumor (4.2%). About 87.5% of our patients reached a very good or good functional result (Enneking score 28–30).

Conclusion

Our results further support curettage and defect filling even of active/aggressive chondroblastoma. If performed betimes, the surgical therapeutic concept of accurate intralesional curettage with or without local adjuvant therapy and defect packing with cancellous bone grafts and/or bone cement assures a high chance of joint preservation along with a low rate of recurrence and good functional long-term results.

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Acknowledgments

The authors thank Dipl. Interpreter Gudrun Küthe for kindly assistance in manuscript preparation.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Division of Orthopedic Oncology and Septic Surgery, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany

    Burkhard Lehner, Daniela Witte & Stefan Weiss

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  1. Burkhard Lehner
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  2. Daniela Witte
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  3. Stefan Weiss
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Correspondence to Stefan Weiss.

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Lehner, B., Witte, D. & Weiss, S. Clinical and radiological long-term results after operative treatment of chondroblastoma. Arch Orthop Trauma Surg 131, 45–52 (2011). https://doi.org/10.1007/s00402-010-1099-y

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  • DOI: https://doi.org/10.1007/s00402-010-1099-y

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