Clinical Outcome of Sandwich Technique Along with Locking Plate Augmentation in Giant Cell Tumoraround Knee.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Introduction:Giant cell tumor is very common around knee.As per conventional treatment we use to do extended curettage and sandwich method for recostuction,but early weight bear in those cases is not possible.As aresultstiffness,collapse of articular surface,and delayed pathological fractures are the possible complications.In this study we have done prospective study after extended curettage and sandwich with locking plate augmentation. After locking plate augmentation in same sitting help us to allow early waight bear and movement ,decrease chance of pathological fracture and better clinical outcome. Material and method-Eighteen patients who had giant-cell tumor of bone and were managed with extended curettage and reconstruction using either bone grafting or sandwich technique between July 2012 and December 2016 were studied. Aggressive curettage was done with the use of various, at Institute of post graduate education &research KOLKATA,west Bengal. We had used adjuvants like high speed burr, hydrogen peroxide along with locking plate augmentation for all cases. Results: After a median duration of follow-up of 14.5 months, the average MSTS score at final follow up was 24.59. Age, gender, grade of tumor, technique and recurrence had no significant effect on the eventual functional outcome achieved by the patients.No complication found in our study after using locking plate.Rather all patients are very satisfied with neer full range of movement of knee. Conclusions: We concluded a good to excellent functional outcome without compromise of prognosis, can be achieved by using locking plate augmented sandwich technique following extended curettage.Most patients could resume their previous work and reach the earlier level of physical activities.Early mobilization hepls to achieve good range of movement. Alonger duration of follow-up of a larger group of patients is necessary to study the recurrence rates.
Authors and Affiliations
Dr Saikat Sau, Dr Avijit Basak
Keywords
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- EP ID EP593483
- DOI 10.9790/0853-160402100105.
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