Recurrence of GCT lower end femur
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Transcript of Recurrence of GCT lower end femur
Recurrence of GCT lower end Femur
Vinod Naneria
Girish Yeotikar
Vinay Tantuway
Department Of OrthopaedicsChoithram Hospital & Research Centre, Indore, India
A case of Recurrence of GCT
• 30 years old Female.• Pain & swelling lower femur & knee 6 months.• Open biopsy – GCT – June 2010• Curettage + Bone graft + Calcium sulphate.• Recurrence in Oct.2010• Serial x-rays and operative and clinical photos
June 2010
Early Recurrence Oct 2010
Recurrence Feb 2011
March 2011
Curetted bone
Curetted bone
Bone graft posterior cortex
KneeShaft
GraftKnee Shaft
Exposed medial articular cartilage
Exposed medial articular cartilage from the shaft side
March 2011Immediate Post Op
May 2011After six week
Six week later active straight leg
July 2011
July 2011
Follow up
• No pain.• Walking without support.• Using knee brace. • Knee ROM 0 to 10.
Points for discussions
• Is this a correct option for a low socio-economical patient?
• What could have been best option of Rx?• Rotation-plasty?• Amputation?• Radiation after surgery?
Future?
• If recurrence :– Repeat cementing?– Radiation?– Amputation?– Custom made TKR
• Reconstruction of medial femoral condyle using patella, & or allograft – a technical possibility?
Video on 14th July, 2011Date of surgery 3rd March,2011
Information contained and transmitted by this presentation is based on personal experience and collection of cases at Choithram Hospital & Research centre, Indore, India, during last 30 years.
It is intended for use only by the students of orthopaedic surgery.
Views and opinion expressed in this presentation are personal opinion.Depending upon the x-rays and clinical presentations, viewers can make their own opinion.
For any confusion please contact the sole author for clarification.
Every body is allowed to copy or download and use the material best suited to him. I am not responsible for any controversies arise out of this presentation.For any correction or suggestion please [email protected]
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