Recurrence of GCT lower end femur
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Recurrence of GCT lower end femur

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Early recurrence, curettage, cementing.

Early recurrence, curettage, cementing.

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  • 1. Recurrence of GCT lower end Femur Vinod Naneria Girish Yeotikar Vinay Tantuway Department Of Orthopaedics Choithram Hospital & Research Centre, Indore, India
  • 2. 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
  • 3. June 2010
  • 4. Early Recurrence Oct 2010
  • 5. Recurrence Feb 2011
  • 6. March 2011
  • 7. Curetted bone Bone graft posterior cortex Knee Shaft Graft ShaftKnee Exposed medial Curetted bone articular cartilage
  • 8. Exposed medial articular cartilage from the shaft side
  • 9. March 2011Immediate Post Op
  • 10. May 2011After six week
  • 11. Six week later active straight leg
  • 12. July 2011
  • 13. July 2011
  • 14. Follow up• No pain.• Walking without support.• Using knee brace.• Knee ROM 0 to 10.
  • 15. 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?
  • 16. Future?• If recurrence : – Repeat cementing? – Radiation? – Amputation? – Custom made TKR• Reconstruction of medial femoral condyle using patella, & or allograft – a technical possibility?
  • 17. Video on 14th July, 2011Date of surgery 3rd March,2011
  • 18. DISCLAIMERInformation contained and transmitted by this presentation is based onpersonal 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 maketheir own opinion.For any confusion please contact the sole author for clarification.Every body is allowed to copy or download and use the material bestsuited to him. I am not responsible for any controversies arise out of thispresentation.For any correction or suggestion please contactnaneria@yahoo.com