Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor

We present a case of knee reconstruction 20 years after treatment of a giant cell tumor (GCT) with curettage and cementation. There is currently an ongoing debate whether cement or allograft bone is the preferred material for filling the void after GCT curettage. In this case we were able to readily...

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Main Authors: Alejandro Zylberberg, Gillian Bayley, Luca Gala, Paul R. Kim
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/283294
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author Alejandro Zylberberg
Gillian Bayley
Luca Gala
Paul R. Kim
author_facet Alejandro Zylberberg
Gillian Bayley
Luca Gala
Paul R. Kim
author_sort Alejandro Zylberberg
collection DOAJ
description We present a case of knee reconstruction 20 years after treatment of a giant cell tumor (GCT) with curettage and cementation. There is currently an ongoing debate whether cement or allograft bone is the preferred material for filling the void after GCT curettage. In this case we were able to readily implant a primary total knee replacement without disturbing the existing well-interdigitated large cement bolus and did not require any stems or augments for the reconstruction. Given the ease of TKR implantation in this patient, we feel that the use of cement following curettage of a GCT lesion is a better choice than allograft bone which may not provide enough structural support for the knee reconstruction and lead to a much more extensive procedure.
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spelling doaj-art-cda06ce09dcc445ca3d8e12274a8f39f2025-08-20T03:19:38ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/283294283294Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell TumorAlejandro Zylberberg0Gillian Bayley1Luca Gala2Paul R. Kim3Division of Orthopedics, Hospital del Trabajador, Ramón Carnicer 185, Providencia Parada de MetroParque Bustamante, Santiago 7501239, ChileDivision of Orthopedics, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, CanadaDivision of Orthopedics, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, CanadaDivision of Orthopedics, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, CanadaWe present a case of knee reconstruction 20 years after treatment of a giant cell tumor (GCT) with curettage and cementation. There is currently an ongoing debate whether cement or allograft bone is the preferred material for filling the void after GCT curettage. In this case we were able to readily implant a primary total knee replacement without disturbing the existing well-interdigitated large cement bolus and did not require any stems or augments for the reconstruction. Given the ease of TKR implantation in this patient, we feel that the use of cement following curettage of a GCT lesion is a better choice than allograft bone which may not provide enough structural support for the knee reconstruction and lead to a much more extensive procedure.http://dx.doi.org/10.1155/2015/283294
spellingShingle Alejandro Zylberberg
Gillian Bayley
Luca Gala
Paul R. Kim
Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
Case Reports in Orthopedics
title Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
title_full Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
title_fullStr Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
title_full_unstemmed Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
title_short Primary Total Knee Arthroplasty Twenty Years after Distal Femoral Cement Augmentation of a Giant Cell Tumor
title_sort primary total knee arthroplasty twenty years after distal femoral cement augmentation of a giant cell tumor
url http://dx.doi.org/10.1155/2015/283294
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