INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15
Joint Salvage by Sandwich Technique and Internal Fixation by Locking Compression Plate in the Management of Giant Cell Tumours around the Knee Joint - Our Experience
Authors Name:
DR.K.NAGA RAVI PRASAD
, DR.G.SWETHA , DR.G.AKHILA
Unique Id:
IJSDR2306047
Published In:
Volume 8 Issue 6, June-2023
Abstract:
Giant cell tumour (GCT) of bone is one of the most common benign and locally aggressive bone tumours occurring around the knee joint. As this tumour occurs in the juxta articular region, it typically compromises the knee joint function resulting in painful restriction of movement, making the patient incapacitated and difficulty in carrying their activities of daily living like walking, sitting and squatting. Many methods of surgical treatment are described in literature for these tumours. Treatment by curettage alone has a high risk of local recurrence. In order to minimise the possibility of local recurrence, use of adjuvants (hydrogen peroxide, phenol, bone cement, cryosurgery) is recommended followed by reconstruction with autograft, allograft and bone cement. At our institute, the surgical protocol followed for the treatment of GCT of distal femur & proximal tibia was Intralesional extended curettage with high-speed burr, use of hydrogen peroxide, reconstructing the bone defect using sandwich technique followed by Locking compression plate fixation, thereby preserving the native Knee joint function and offering early weight bearing on the operated limb. A total of 15 cases were treated from January 2019 to May 2021. The aim of our study was to evaluate the pain free range of motion in the knee joint postoperatively and the patient’s ability to carry on their activities of daily living independently. Postoperatively, all the patients had a significant improvement in their knee joint function rendering them to carry on their activities of daily living independently, thereby improving their quality of life. There was no recurrence in any of our cases during the follow-up period. From this study, we conclude that Joint function can be preserved using Sandwich technique for treating Giant cell tumours around the knee with favourable clinical outcomes.
Keywords:
Giant cell tumour, Distal Femur and Proximal Tibia, Extended curettage using High speed burr, Sandwich technique, Internal fixation, Locking compression plate
Cite Article:
"Joint Salvage by Sandwich Technique and Internal Fixation by Locking Compression Plate in the Management of Giant Cell Tumours around the Knee Joint - Our Experience", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 6, page no.343 - 345, June-2023, Available :http://www.ijsdr.org/papers/IJSDR2306047.pdf
Downloads:
000337354
Publication Details:
Published Paper ID: IJSDR2306047
Registration ID:207030
Published In: Volume 8 Issue 6, June-2023
DOI (Digital Object Identifier):
Page No: 343 - 345
Publisher: IJSDR | www.ijsdr.org
ISSN Number: 2455-2631
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