Erschienen in:
01.08.2004 | Original Paper
Giant-cell tumors of bone: an analysis of 87 cases
verfasst von:
Yu-Ping Su, Wei-Ming Chen, Tain-Hsiung Chen
Erschienen in:
International Orthopaedics
|
Ausgabe 4/2004
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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%.