A Comparative Study between Joint Replacement and Joint Preserving Surgery in Cases of Giant Cell Tumor around the Knee
Introduction: Giant cell tumor (GCT) is a primary bone tumor that presents as a locally aggressive and potentially malignant lesion. For GCT around the knee, treatment is usually focused on surgical options. Limb-saving surgery is of two types, joint replacement and joint sacrificing. Objective: In...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-05-01
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| Series: | Journal of Orthopaedic Diseases and Traumatology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jodp.jodp_34_23 |
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| Summary: | Introduction:
Giant cell tumor (GCT) is a primary bone tumor that presents as a locally aggressive and potentially malignant lesion. For GCT around the knee, treatment is usually focused on surgical options. Limb-saving surgery is of two types, joint replacement and joint sacrificing.
Objective:
In the study, we will discuss the two popular methods of limb salvage, one is endoprosthetic replacement and another one is arthrodesis to ascertain the incidence and effectiveness of recurrence and to achieve the maximum possible range of motion in the knee joint.
Materials and Methods:
It is a prospective longitudinal study done over 32 months of duration from January 2018 to August 2020, with a total of 26 patients with GCT around the knee joint. The study population was divided into two groups by randomization technique for endoprosthetic reconstruction and knee arthrodesis using intramedullary nail fixation, and the results were compared on the basis of MSTS score between the two groups.
Results:
For comparison of MSTS score, the megaprosthesis (MP) group has a better outcome. In the MP group, the MSTS score was between 80% and 93%, with a mean of 87.13 and standard deviation of 5.489. Cases operated by Enneking nailing arthrodesis technique, the MSTS score was between 58 and 52 and mean of 54 with standard deviation of 3.082.
Conclusion:
From the study, it can be concluded that endoprosthesis replacement surgery is better than knee arthrodesis in many aspects although long-term follow-up should be continued. |
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| ISSN: | 2665-9352 2665-9360 |