Recurrence of GCT lower end Femur               Vinod Naneria               Girish Yeotikar              Vinay Tantuway   ...
A case of Recurrence of GCT•   30 years old Female.•   Pain & swelling lower femur & knee 6 months.•   Open biopsy – GCT –...
June 2010
Early Recurrence Oct 2010
Recurrence Feb 2011
March 2011
Curetted bone            Bone graft posterior cortex                               Knee                           Shaft   ...
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 o...
Future?• If recurrence :  – Repeat cementing?  – Radiation?  – Amputation?  – Custom made TKR• Reconstruction of medial fe...
Video on 14th July, 2011Date of surgery 3rd March,2011
DISCLAIMERInformation contained and transmitted by this presentation is based onpersonal experience and collection of case...
Recurrence of GCT lower end femur
Recurrence of GCT lower end femur
Recurrence of GCT lower end femur
Recurrence of GCT lower end femur
Upcoming SlideShare
Loading in …5
×

Recurrence of GCT lower end femur

1,591 views
1,191 views

Published on

Early recurrence, curettage, cementing.

Published in: Health & Medicine, Technology
3 Comments
0 Likes
Statistics
Notes
  • Be the first to like this

No Downloads
Views
Total views
1,591
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
8
Comments
3
Likes
0
Embeds 0
No embeds

No notes for slide

Recurrence of GCT lower end femur

  1. 1. Recurrence of GCT lower end Femur Vinod Naneria Girish Yeotikar Vinay Tantuway Department Of Orthopaedics Choithram Hospital & Research Centre, Indore, India
  2. 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. 3. June 2010
  4. 4. Early Recurrence Oct 2010
  5. 5. Recurrence Feb 2011
  6. 6. March 2011
  7. 7. Curetted bone Bone graft posterior cortex Knee Shaft Graft ShaftKnee Exposed medial Curetted bone articular cartilage
  8. 8. Exposed medial articular cartilage from the shaft side
  9. 9. March 2011Immediate Post Op
  10. 10. May 2011After six week
  11. 11. Six week later active straight leg
  12. 12. July 2011
  13. 13. July 2011
  14. 14. Follow up• No pain.• Walking without support.• Using knee brace.• Knee ROM 0 to 10.
  15. 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. 16. Future?• If recurrence : – Repeat cementing? – Radiation? – Amputation? – Custom made TKR• Reconstruction of medial femoral condyle using patella, & or allograft – a technical possibility?
  17. 17. Video on 14th July, 2011Date of surgery 3rd March,2011
  18. 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

×