Recurrence of GCT lower end Femur

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Recurrence of GCT lower end Femur : 

Recurrence of GCT lower end Femur Vinod Naneria Girish Yeotikar Vinay Tantuway Department Of Orthopaedics Choithram Hospital & Research Centre, Indore, India

A case of Recurrence of GCT : 

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 Feb.2011 Serial x-rays and operative and clinical photos

Slide 3: 

June 2010

Slide 4: 

Early Recurrence Oct 2010

Slide 5: 

Early Recurrence Feb 2011

Slide 6: 

March 2011

Slide 7: 

Curetted bone Curetted bone Bone graft posterior cortex Knee Shaft Graft Knee Shaft Exposed medial articular cartilage

Slide 8: 

Exposed medial articular cartilage from the shaft side

Slide 10: 

March 2011 Immediate Post Op

Slide 11: 

May 2011 After six week

Slide 12: 

Six week later active straight leg

Slide 13: 

July 2011

Slide 14: 

July 2011

Follow up : 

Follow up No pain. Walking without support. Using knee brace. Knee ROM 0 to 10.

Points for discussions : 

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? : 

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 : 

Video on 14th July, 2011Date of surgery 3rd March,2011

Slide 19: 

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 contact naneria@yahoo.com DISCLAIMER