Is bone graft necessary? Analysis of twenty cases of giant cell tumour of bone treated by curettage without graft

Twenty cases of giant cell tumour of bone treated over an eleven year period were analysed. The minimum follow-up time was two years with an average of six years. Primary treatment consisted of a detailed curettage alone, without bone graft. A recurrence rate of 35% (7 patients) was recorded. Cases...

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Bibliographic Details
Published in:International orthopaedics 1990-06, Vol.14 (2), p.129-133
Main Authors: WALDRAM, M. A, SNEATH, R. S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Amputation
Biological and medical sciences
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - surgery
Child
Curettage
Diseases of the osteoarticular system
Female
Giant Cell Tumors - diagnostic imaging
Giant Cell Tumors - surgery
Humans
Joint Prosthesis
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - surgery
Radiography
Reoperation
Tumors of striated muscle and skeleton
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Summary:Twenty cases of giant cell tumour of bone treated over an eleven year period were analysed. The minimum follow-up time was two years with an average of six years. Primary treatment consisted of a detailed curettage alone, without bone graft. A recurrence rate of 35% (7 patients) was recorded. Cases of recurrence were suitable for resection and endoprosthetic replacement. We conclude that detailed curettage alone, without bone graft, is an effective primary treatment for patients with giant cell tumour of bone.
ISSN:0341-2695
1432-5195
DOI:10.1007/BF00180116