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.

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