Die Kürettage von Riesenzelltumoren mit temporärer Implantation von Knochenzement

Autor:	P Wuisman, A Härle
Rok vydání:	2008
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Bone cement Curettage Surgery Tumor excision medicine.anatomical_structure Bone transplantation medicine Orthopedics and Sports Medicine Cortical bone Giant Cell Tumors Treatment procedure business After treatment
Zdroj:	Zeitschrift für Orthopädie und ihre Grenzgebiete. 127:382-386
ISSN:	1438-941X 0044-3220
DOI:	10.1055/s-2008-1044682
Popis:	Curettage with simultaneous bone transplantation is followed by a recurrence rate of 20-60%. In a follow-up of own cases up to 36 years after treatment recurrence was roughly 50%. In the last 10 years we changed to on other treatment procedure, namely optical controlled curettage with temporary cementation. To prevent further damage to the preexisting destabilization of the periarticular cortical bone, tumor excision is done through a small bone window, using a cold lighted mirror to achieve complete curettage. The cavity is then filled with bone cement, which is left in place for 3 months. When at that time there are no signs for tumor persistence, the cement is removed and bone reconstruction performed. An analysis of 17 cases treated this way showed a clearly smaller recurrence rate of 6%; this difference was statistically significant when applying the Kaplan-Meier test.
Databáze:	OpenAIRE
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